Organization
BBH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN TETRO (DIRECTOR)
(814) 648-0312
Entity
Organization
Contact information
Practice address
70 2ND ST, SUITE A, BROOKVILLE, PA 15825-1556
(814) 849-2844
(814) 849-3425
Mailing address
70 2ND ST, SUITE A, BROOKVILLE, PA 15825-1556
(814) 849-2844
(814) 849-3425
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023192610001
—
PA
Enumeration date
11/02/2009
Last updated
11/02/2009
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