Organization
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Active
Parent organization
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Other names
MNMC Mental Health Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Authorized official
BRYAN ROACH (CFO)
(814) 234-6148
Entity
Organization
Contact information
Practice address
1800 EAST COLLEGE AVE, STATE COLLEGE, PA 16803-6797
(814) 234-6181
(814) 238-5185
Mailing address
1800 E PARK AVE, STATE COLLEGE, PA 16803-6701
(814) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
550301
PA
Other
Enumeration date
12/07/2007
Last updated
10/04/2021
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