Organization
CREATIVE LIVING CENETER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY HAMM PH.D (DIRECTOR)
(412) 828-9458
Entity
Organization
Contact information
Practice address
434 ALLEGHENY RIVER BLVD, SUITE 215, OAKMONT, PA 15139-1734
(412) 828-9459
Mailing address
434 ALLEGHENY RIVER BLVD, SUITE 215, OAKMONT, PA 15139-1734
(412) 828-9459
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
PS005025L
PA
1041C0700X
Clinical Social Worker
Primary
CW012850
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434704
HIGHMARK
PA
Enumeration date
08/15/2008
Last updated
08/15/2008
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