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Organization

GEISINGER CLINIC

Active
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Organization

GEISINGER CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5490
Entity
Organization

Contact information

Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
104100000X
Social Worker
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084N0400X
Neurology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2084P0005X
Neurodevelopmental Disabilities Physician
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
363A00000X
Physician Assistant
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist

Other

Enumeration date
05/12/2006
Last updated
06/27/2008
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