Organization
TRI-STATE CLINICAL SUPPORT SERVCIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HAMMERMAN (PRESIDENT)
(215) 773-0732
Entity
Organization
Contact information
Practice address
2060 BUTTERNUT DR, HUNTINGDON VALLEY, PA 19006-1733
(215) 773-0732
Mailing address
2060 BUTTERNUT DR, HUNTINGDON VALLEY, PA 19006-1733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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