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Contact Information

LAKE ERIE BEHAVIORAL HEALTH, LLC
3216 STATE ST
ERIE, PA16508
 Phone: 814-812-2633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for LAKE ERIE BEHAVIORAL HEALTH LLC · (Female)

NPI Number 1245742469
Status Active
Credentials
Entity Individual
Enumeration date 10/27/2017
Last updated 11/17/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # MD458004
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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