# BEAVER COUNTY PSYCHIATRIC SERVICES, PC

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

## Provider details

- **NPI number:** 1710910310
- **Authorized official:** DR. SUZANNE E VOGEL-SCIBILIA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (724) 775-9150

## Contact information

- **Practice address:** 219 THIRD STREET, BEAVER, PA 15009
- **Practice address phone:** (724) 775-9150
- **Practice address fax:** (724) 775-9153
- **Mailing address:** 219 THIRD STREET, BEAVER, PA 15009
- **Mailing address phone:** (724) 775-9150
- **Mailing address fax:** (724) 775-9153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 05/13/2008