Organization
BLUESTEM BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SPRENKEL PHD (OWNER)
(724) 774-1404
Entity
Organization
Contact information
Practice address
336 COLLEGE AVE, BEAVER, PA 15009-2231
(724) 774-1404
Mailing address
336 COLLEGE AVE, BEAVER, PA 15009-2231
(724) 774-1404
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1454794
HIGHMARK BC/BS
PA
Enumeration date
06/25/2008
Last updated
06/25/2008
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