Individual
ANTOINETTE HAMIDIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
116 LARCH ST STE 300, SCRANTON, PA 18509-2802
(570) 489-5561
(570) 489-5563
Mailing address
851 COMMERCE BLVD, SUITE 107, DICKSON CITY, PA 18519-1677
(570) 489-5561
(570) 489-5563
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016274
PA
103TC0700X
Clinical Psychologist
PS016274
PA
225400000X
Rehabilitation Practitioner
SL005220 L
PA
235Z00000X
Speech-Language Pathologist
SL005220 L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001698460004
—
PA
01
—
163625
MEDPLUS
PA
01
—
201824875
PHCS
PA
01
—
2669826
AETNA HMO
PA
01
—
7777308
AETNA PPO
PA
01
—
819422
FIRST PRIORITY
PA
01
—
976357
HIGHMARK
PA
Enumeration date
12/01/2005
Last updated
01/24/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us