Organization
KEYSTONE RENAISSANCE FAMILY SERVICES
Active
Parent organization
RENAISSANCE PSYCHOLOGICAL AND COUNSELING CORPORATIOM, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENAISSANCE PSYCHOLOGICAL AND COUNSELING CORPORATIOM, INC.
Authorized official
DR. JOHN A REINHARDT PH.D. (PRESIDENT)
(570) 702-8500
Entity
Organization
Contact information
Practice address
215 HICKORY ST, SCRANTON, PA 18505-9208
(570) 702-8500
(570) 702-8575
Mailing address
215 HICKORY ST, SCRANTON, PA 18505-9208
(570) 702-8500
(570) 702-8575
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003830L
PA
Other
Enumeration date
05/18/2012
Last updated
03/04/2016
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