Progressive Psychiatry, Pc | |
2335 W 38th St Ste 2 Erie PA 16506-4575 | |
(814) 868-8505 | |
(814) 868-8515 |
Full Name | Progressive Psychiatry, Pc |
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Speciality | Psychiatry & Neurology |
Location | 2335 W 38th St Ste 2, Erie, Pennsylvania |
Authorized Official Name and Position | Colleen R Silay (ASST. OFFICE MANAGER) |
Authorized Official Contact | 8148688505 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Progressive Psychiatry, Pc 2335 W 38th St Ste 2 Erie PA 16506-4575 Ph: (814) 868-8505 | Progressive Psychiatry, Pc 2335 W 38th St Ste 2 Erie PA 16506-4575 Ph: (814) 868-8505 |
NPI Number | 1528734779 |
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Provider Enumeration Date | 08/18/2021 |
Last Update Date | 10/20/2021 |
Certification Date | 10/20/2021 |
Medicare PECOS PAC ID | 9436548385 |
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Medicare Enrollment ID | O20211115000880 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528734779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | Richard H Spector |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1285619007 PECOS PAC ID: 6709871213 Enrollment ID: I20040415000494 |
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