| Penn Highlands Concussion Clinic | |
|
145 Hospital Ave Suite 312 Du Bois PA 15801-1462 | |
| (814) 375-6200 | |
| Not Available |
| Full Name | Penn Highlands Concussion Clinic |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 145 Hospital Ave, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Brian S Kline (VP/CFO/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8143756377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Highlands Concussion Clinic 100 Hospital Ave Du Bois PA 15801-1440 Ph: (814) 375-6560 | Penn Highlands Concussion Clinic 145 Hospital Ave Suite 312 Du Bois PA 15801-1462 Ph: (814) 375-6200 |
| NPI Number | 1780125062 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 04/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780125062 | NPI | - | NPPES |
| 100774088 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (Pennsylvania) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Breezewood Behavioral Health Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Beaver Dr, Ste 117d, Du Bois, PA 15801 Phone: 814-371-1340 Fax: 814-371-1864 | |
Clearfield Jefferson Cmhc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Caldwell Dr, Du Bois, PA 15801 Phone: 724-465-5576 Fax: 724-465-6379 | |
Personal Habilitation Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 W Dubois Ave, Ste G, Du Bois, PA 15801 Phone: 814-375-7091 | |
Cooper's Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 S Brady St Ste 236, Du Bois, PA 15801 Phone: 814-661-5356 Fax: 814-690-1994 | |
Penn Highlands Neurology Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 123 Hospital Ave, Du Bois, PA 15801 Phone: 814-375-2070 Fax: 814-375-2076 | |
Brookville Behavioral Health Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3 S Brady St Ste 205, Du Bois, PA 15801 Phone: 814-371-1088 Fax: 814-371-4966 | |
Breezewood Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Beaver Dr, Ste 117d, Du Bois, PA 15801 Phone: 814-371-1340 Fax: 814-371-1864 |