Organization
FOOTSTEPS PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY K HASLETT PHD (OWNER)
(814) 266-5238
Entity
Organization
Contact information
Practice address
334 BLOOMFIELD ST, SUITE 202, JOHNSTOWN, PA 15904-3268
(814) 266-5238
(814) 266-1762
Mailing address
334 BLOOMFIELD ST, SUITE 204, JOHNSTOWN, PA 15904-3268
(814) 266-5238
(814) 266-1762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025765450002
—
PA
05
—
1025765450003
—
PA
01
—
331004
HIGHMARK BLUE CROSS
PA
Enumeration date
04/26/2006
Last updated
04/27/2017
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