Organization
PSYCHOTHERAPY SERVICES OF CRANBERRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S. BODNAR PH.D. (PRESIDENT)
(724) 776-5690
Entity
Organization
Contact information
Practice address
215 EXECUTIVE DR, SUITE 102, CRANBERRY TWP, PA 16066-6406
(724) 776-5690
(724) 776-5611
Mailing address
215 EXECUTIVE DR, SUITE 102, CRANBERRY TWP, PA 16066-6406
(724) 776-5690
(724) 776-5611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS-003621-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058172 A796230
VBH-PA
PA
05
—
41-01834802
—
PA
Enumeration date
05/15/2007
Last updated
02/04/2013
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