Organization
BRADDOCK CENTER FOR BEHAVIORAL MEDICINE
Active
Organization
BRADDOCK CENTER FOR BEHAVIORAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS K HAUBER M.D. (MEDICAL DIRECTOR)
(724) 543-1043
Entity
Organization
Contact information
Practice address
200 MEDICAL ARTS BLDG, SUITE 240, KITTANNING, PA 16201-7132
(724) 543-1043
(724) 545-1857
Mailing address
200 MEDICAL ARTS BLDG, SUITE 240, KITTANNING, PA 16201-7132
(724) 543-1043
(724) 545-1857
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS000548L
PA
103T00000X
Psychologist
PS007325L
PA
104100000X
Social Worker
SW002354E
PA
1041C0700X
Clinical Social Worker
CW000943L
PA
1041C0700X
Clinical Social Worker
CW014441
PA
1041C0700X
Clinical Social Worker
CW103528
PA
2084P0800X
Psychiatry Physician
Primary
MD025396E
PA
2084P0805X
Geriatric Psychiatry Physician
MD025396E
PA
Other
Enumeration date
06/29/2006
Last updated
06/25/2008
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