Organization
PENNSYLVANIA PSYCHIATRIC INSTITUTE
Active
Other names
PPI Professional
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DALY (CEO)
(717) 782-4742
Entity
Organization
Contact information
Practice address
2501 NORTH THIRD STREET, HARRISBURG, PA 17110-2310
(717) 782-4783
Mailing address
2501 NORTH THIRD STREET, HARRISBURG, PA 17104-1612
(717) 782-6420
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2139315
HIGHMARK
—
05
—
PENDING
—
PA
Enumeration date
05/19/2009
Last updated
09/26/2014
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