Organization
BEACON LIGHT BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE R. SIMONS PH. D. (LICENSED PSYCHOLOGIST)
(814) 362-6565
Entity
Organization
Contact information
Practice address
945 SOUTH AVE., CUSTER CITY, PA 16725
(814) 362-6565
(814) 362-6415
Mailing address
800 E MAIN ST, BRADFORD, PA 16701-3278
(814) 362-5250
(814) 362-2185
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PS015091
PA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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