# BLACKBIRD CLINICAL SERVICES PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598524563
- **Authorized official:** DR. MATTHEW KEENER MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (412) 527-6496

## Contact information

- **Practice address:** 1247 S CEDAR CREST BLVD STE 107, ALLENTOWN, PA 18103-6347
- **Practice address phone:** (484) 202-0751
- **Practice address fax:** (610) 770-1805
- **Mailing address:** 1247 S CEDAR CREST BLVD STE 107, ALLENTOWN, PA 18103-6347
- **Mailing address phone:** (484) 202-0751
- **Mailing address fax:** (610) 770-1805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 03/13/2024