Organization
RIVERVIEW INTERMEDIATE UNIT 6
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STAHLMAN (EXECUTIVE DIRECTOR)
(814) 297-5101
Entity
Organization
Contact information
Practice address
270 MAYFIELD ROAD, CLARION, PA 16214-9958
(814) 226-7103
(814) 226-2711
Mailing address
270 MAYFIELD ROAD, CLARION, PA 16214-9958
(814) 226-7103
(814) 226-2711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
PA
163W00000X
Registered Nurse
—
PA
225100000X
Physical Therapist
—
PA
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012155550001
—
PA
Enumeration date
01/15/2007
Last updated
09/24/2020
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