Organization
BERKS THERAPEUTIC ALLIANCE
Active
Other names
Keystone Blue Hen PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOT MASON DEPUE M.D. (CEO)
(484) 769-7626
Entity
Organization
Contact information
Practice address
845 N PARK RD, SUITE 101, WYOMISSING, PA 19610-1342
(610) 334-8131
Mailing address
845 N PARK RD, SUITE 101, WYOMISSING, PA 19610-1342
(610) 334-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MD426302
PA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PC002868
PA
207P00000X
Emergency Medicine Physician
MD426302
PA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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