| Upturn, Llc | |
|
2405 N Front St Harrisburg PA 17110-1155 | |
| (717) 745-7463 | |
| Not Available |
| Full Name | Upturn, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2405 N Front St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Diana Lea Brown (OWNER, CEO, PRINCIPAL) |
| Authorized Official Contact | 7177457463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upturn, Llc 2405 N Front St Harrisburg PA 17110-1155 Ph: (717) 745-7463 | Upturn, Llc 2405 N Front St Harrisburg PA 17110-1155 Ph: (717) 745-7463 |
| NPI Number | 1447650965 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 6901185206 |
|---|---|
| Medicare Enrollment ID | O20161109000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447650965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS016958 (Pennsylvania) | Primary |
| Provider Name | Diana Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184858565 PECOS PAC ID: 5597943555 Enrollment ID: I20110623000007 |
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