Organization
MERION CREEK MENTAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK CAIAZZO PSY.D. (CEO)
(855) 637-4662
Entity
Organization
Contact information
Practice address
1 CENTER SQ, SUITE 208, HANOVER, PA 17331-3013
(855) 637-4662
Mailing address
1 CENTER SQ, SUITE 208, HANOVER, PA 17331-3013
(855) 637-4662
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017064
PA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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