| Keystone Renaissance Family Services | |
|
215 Hickory St Scranton PA 18505-9208 | |
| (570) 702-8500 | |
| (570) 702-8575 |
| Full Name | Keystone Renaissance Family Services |
|---|---|
| Speciality | Psychologist |
| Location | 215 Hickory St, Scranton, Pennsylvania |
| Authorized Official Name and Position | John A Reinhardt (PRESIDENT) |
| Authorized Official Contact | 5707028500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Renaissance Family Services 215 Hickory St Scranton PA 18505-9208 Ph: (570) 702-8500 | Keystone Renaissance Family Services 215 Hickory St Scranton PA 18505-9208 Ph: (570) 702-8500 |
| NPI Number | 1073873485 |
|---|---|
| Provider Enumeration Date | 05/18/2012 |
| Last Update Date | 03/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073873485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS003830L (Pennsylvania) | Primary |
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