| Reading Hospital-mental Health Kutztown | |
|
15200 Kutztown Rd Old Main Building Kutztown PA 19530-9335 | |
| (484) 628-8070 | |
| Not Available |
| Full Name | Reading Hospital-mental Health Kutztown |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15200 Kutztown Rd, Kutztown, Pennsylvania |
| Authorized Official Name and Position | Gary Conner (C.F.O.) |
| Authorized Official Contact | 4846288181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reading Hospital-mental Health Kutztown Po Box 13579 Reading PA 19612-3579 Ph: () - | Reading Hospital-mental Health Kutztown 15200 Kutztown Rd Old Main Building Kutztown PA 19530-9335 Ph: (484) 628-8070 |
| NPI Number | 1154537413 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 02/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154537413 | NPI | - | NPPES |
| 1002865910123 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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