| Psychotherapy Services Of Cranberry, P.c. | |
|
215 Executive Dr Suite 102 Cranberry Twp PA 16066-6406 | |
| (724) 776-5690 | |
| (724) 776-5611 |
| Full Name | Psychotherapy Services Of Cranberry, P.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 215 Executive Dr, Cranberry Twp, Pennsylvania |
| Authorized Official Name and Position | Robert S. Bodnar (PRESIDENT) |
| Authorized Official Contact | 7247765690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychotherapy Services Of Cranberry, P.c. 215 Executive Dr Suite 102 Cranberry Twp PA 16066-6406 Ph: (724) 776-5690 | Psychotherapy Services Of Cranberry, P.c. 215 Executive Dr Suite 102 Cranberry Twp PA 16066-6406 Ph: (724) 776-5690 |
| NPI Number | 1427264407 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427264407 | NPI | - | NPPES |
| 058172 A796230 | Other | PA | VBH-PA |
| 41-01834802 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS-003621-L (Pennsylvania) | Primary |
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