Individual
DR. BERNARDINE SUPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
16 LUZERNE AVE, WEST PITTSTON, PA 18643-2817
(570) 961-3361
(570) 961-3364
Mailing address
38 NORTH ST, COURTDALE, PA 18704-1713
(570) 288-2430
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008862L
PA
103TC0700X
Clinical Psychologist
PS008862L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017502200004
—
PA
Enumeration date
01/23/2007
Last updated
11/15/2023
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