Organization
CLEARFIELD JEFFERSON CMHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ALBRIGHT (BILLING SUPERVISOR)
(724) 465-5576
Entity
Organization
Contact information
Practice address
100 CALDWELL DR, DU BOIS, PA 15801-1152
(724) 465-5576
(724) 465-6379
Mailing address
793 OLD ROUTE 119 HWY N, INDIANA, PA 15701-1372
(724) 465-5576
(724) 465-6379
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1824877
BLUE SHIELD
PA
Enumeration date
03/31/2008
Last updated
03/31/2008
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