| Salesian Monastic Community | |
|
Hc 1 Box 455 Frantz Road Brodheadsville PA 18322-9630 | |
| (570) 992-3448 | |
| Not Available |
| Full Name | Salesian Monastic Community |
|---|---|
| Speciality | Psychologist |
| Location | Hc 1 Box 455, Brodheadsville, Pennsylvania |
| Authorized Official Name and Position | Bernard Seif (ABBOT PRESIDENT) |
| Authorized Official Contact | 5709923448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Salesian Monastic Community Hc 1 Box 455 Frantz Road Brodheadsville PA 18322-9630 Ph: (570) 992-3448 | Salesian Monastic Community Hc 1 Box 455 Frantz Road Brodheadsville PA 18322-9630 Ph: (570) 992-3448 |
| NPI Number | 1396051017 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Medicare PECOS PAC ID | 7618164948 |
|---|---|
| Medicare Enrollment ID | O20101213000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396051017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS005430L (Pennsylvania) | Primary |
| Provider Name | Bernard Seif |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205899200 PECOS PAC ID: 1153518485 Enrollment ID: I20101213000087 |
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