# MOSHANNON VALLEY PSYCHIATRIC SERVICES, PC

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

## Provider details

- **NPI number:** 1710257795
- **Authorized official:** AMY CRISCITELLO CRNP (NURSE PRACTITIONER, INCORPORATOR)
- **Authorized official phone:** (814) 371-6877

## Contact information

- **Practice address:** 90 BEAVER DR, SUITE 210D, DU BOIS, PA 15801-2440
- **Practice address phone:** (814) 371-6877
- **Mailing address:** 1348 GINTER MORANN HWY, HOUTZDALE, PA 16651-9541
- **Mailing address phone:** (814) 553-5173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 01/06/2012