Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY MULL (DIRECTOR)
(570) 271-6144
Entity
Organization
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822
(570) 271-6211
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1678156
HIGHMARK BS#
—
Enumeration date
06/27/2006
Last updated
02/26/2019
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