Organization
BEACON LIGHT BEHAVIORAL HEALTH
Active
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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