| Pediatric Care Specialists | |
|
1322 Eisenhower Blvd Pediatric Care Specialists Johnstown PA 15904 | |
| (814) 266-8840 | |
| (814) 266-2176 |
| Full Name | Pediatric Care Specialists |
|---|---|
| Speciality | Psychologist |
| Location | 1322 Eisenhower Blvd, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Patricia Lynn Avramis (PRIVACY OFFICER) |
| Authorized Official Contact | 8142668840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Care Specialists 1322 Eisenhower Blvd Pediatric Care Specialists Johnstown PA 15904 Ph: (814) 266-8840 | Pediatric Care Specialists 1322 Eisenhower Blvd Pediatric Care Specialists Johnstown PA 15904 Ph: (814) 266-8840 |
| NPI Number | 1124310586 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 05/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124310586 | NPI | - | NPPES |
| 1007708200003 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS016634 (Pennsylvania) | Primary |
| 104100000X | Social Worker | CW015802 (Pennsylvania) | Secondary |
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