Organization
PEDIATRIC CARE SPECIALISTS
Active
Parent organization
PEDIATRIC CARE SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC CARE SPECIALISTS
Authorized official
MS. PATRICIA LYNN AVRAMIS (PRIVACY OFFICER)
(814) 266-8840
Entity
Organization
Contact information
Practice address
1322 EISENHOWER BLVD, PEDIATRIC CARE SPECIALISTS, JOHNSTOWN, PA 15904
(814) 266-8840
(814) 266-2176
Mailing address
1322 EISENHOWER BLVD, PEDIATRIC CARE SPECIALISTS, JOHNSTOWN, PA 15904
(814) 266-8840
(814) 266-2176
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016634
PA
104100000X
Social Worker
CW015802
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007708200003
—
PA
Enumeration date
05/04/2011
Last updated
05/04/2011
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