Organization
BBH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN TETRO (DIRECTOR)
(814) 849-2844
Entity
Organization
Contact information
Practice address
70 2ND ST, BROOKVILLE, PA 15825-1556
(814) 849-2844
(814) 849-3525
Mailing address
70 2ND ST, BROOKVILLE, PA 15825-1556
(814) 849-2844
(814) 849-3525
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023192610001
—
PA
Enumeration date
11/02/2009
Last updated
11/02/2009
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