| Pa Patient Care Pc | |
|
722 Clay Ave Scranton PA 18510-1728 | |
| (570) 565-9111 | |
| Not Available |
| Full Name | Pa Patient Care Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 722 Clay Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Ahron Milworm (PRESIDENT) |
| Authorized Official Contact | 17186647109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pa Patient Care Pc 722 Clay Ave Scranton PA 18510-1728 Ph: (570) 565-9111 | Pa Patient Care Pc 722 Clay Ave Scranton PA 18510-1728 Ph: (570) 565-9111 |
| NPI Number | 1750650826 |
|---|---|
| Provider Enumeration Date | 12/20/2011 |
| Last Update Date | 09/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750650826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 320700000X | Residential Treatment Facility, Physical Disabilities | 241004-1 (New York) | Secondary |
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