| L.c.c.c.s Children's Development Center | |
|
625 W Edwin St Williamsport PA 17701 | |
| (570) 326-0565 | |
| (570) 329-2522 |
| Full Name | L.c.c.c.s Children's Development Center |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 625 W Edwin St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Anthony P. Perrotta (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5703260565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L.c.c.c.s Children's Development Center 625 W Edwin St Williamsport PA 17701 Ph: (570) 326-0565 | L.c.c.c.s Children's Development Center 625 W Edwin St Williamsport PA 17701 Ph: (570) 326-0565 |
| NPI Number | 1104970227 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 09/28/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104970227 | NPI | - | NPPES |
| 100004601 | Medicaid | PA | |
| 43093 | Other | PA | GEISINGER HEALTH PLAN |
| 000999239 | Other | PA | HIGHMARK BLUE SHIELD |
| 1000046010005 | Medicaid | PA |
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