Organization
BEAVER COUNTY PSYCHIATRIC SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE E VOGEL-SCIBILIA MD (MEDICAL DIRECTOR)
(724) 775-9150
Entity
Organization
Contact information
Practice address
219 THIRD STREET, BEAVER, PA 15009
(724) 775-9150
(724) 775-9153
Mailing address
219 THIRD STREET, BEAVER, PA 15009
(724) 775-9150
(724) 775-9153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1249301
—
PA
01
—
632129
BLUE SHIELD
PA
01
—
663929
BLUE SHIELD
PA
01
—
879856
BLUE SHIELD
PA
01
—
CI4079
RAILROAD MEDICARE
PA
Enumeration date
07/08/2006
Last updated
05/13/2008
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