| Keystone Service Systems, Inc. | |
|
300 Creek View Dr Suite 210 Newark DE 19711-8546 | |
| (717) 232-7509 | |
| (717) 232-6687 |
| Full Name | Keystone Service Systems, Inc. |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 300 Creek View Dr, Newark, Delaware |
| Authorized Official Name and Position | Charles J. Hooker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7172327509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Service Systems, Inc. 4391 Sturbridge Dr Harrisburg PA 17110-3673 Ph: (717) 740-2949 | Keystone Service Systems, Inc. 300 Creek View Dr Suite 210 Newark DE 19711-8546 Ph: (717) 232-7509 |
| NPI Number | 1568525640 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/12/2021 |
| Certification Date | 05/12/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568525640 | NPI | - | NPPES |
| 0001018356 | Medicaid | DE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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