Organization
CHILDREN'S PARACLETE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D BIXLER PH.D. (CEO/PRESIDENT)
(814) 539-9636
Entity
Organization
Contact information
Practice address
227 FRANKLIN ST, SUITE 300, JOHNSTOWN, PA 15901-1916
(814) 539-9636
(814) 535-4497
Mailing address
227 FRANKLIN ST, SUITE 300, JOHNSTOWN, PA 15901-1916
(814) 539-9636
(814) 535-4497
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001650500-001
MEDICAL ASSISTANCE
PA
01
—
BI1783335
HIGHMARK BLUE SHIELD PROV
PA
Enumeration date
12/20/2005
Last updated
08/22/2020
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