Maria Fisher Enix | |
80 E Corydon St Ste 105 Bradford PA 16701-6520 | |
(814) 368-4422 | |
(814) 368-4422 |
Full Name | Maria Fisher Enix |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 80 E Corydon St Ste 105, Bradford, Pennsylvania |
Authorized Official Name and Position | Maria Fisher Enix (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 8143684422 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Maria Fisher Enix 80 E Corydon St Ste 105 Bradford PA 16701-6520 Ph: (814) 368-4422 | Maria Fisher Enix 80 E Corydon St Ste 105 Bradford PA 16701-6520 Ph: (814) 368-4422 |
NPI Number | 1336874049 |
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Provider Enumeration Date | 07/18/2022 |
Last Update Date | 12/13/2024 |
Certification Date | 12/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336874049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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The Guidance Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Campus Dr, Bradford, PA 16701 Phone: 814-362-6535 Fax: 814-817-2113 |