Organization
INTEGRATED PRACTITIONERS CENTER INC
Active
Organization
INTEGRATED PRACTITIONERS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE M TETRO (PRESIDENT)
(814) 648-0600
Entity
Organization
Contact information
Practice address
200 MEDICAL ARTS BLDG, SUITE 240 B, KITTANNING, PA 16201-7132
(814) 648-0600
Mailing address
268 MILE LONG HILL RD, KITTANNING, PA 16201-4724
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
PA
1041C0700X
Clinical Social Worker
—
PA
2084P0800X
Psychiatry Physician
Primary
—
PA
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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