National Provider Identifier Database

MARK A DEMIDOVICH, MD – NPI #1699859017
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

MARK A DEMIDOVICH, MD
233 GEORGE JUNIOR RD
GROVE CITY, PA16127
Phone: 724-421-3355
Fax: 724-406-0240
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for MARK A DEMIDOVICH

NPI Number 1699859017
Credentials MD
Entity Individual
Enumeration date 10/24/2006
Last updated 09/13/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • PA License #: MD427222
  • PA Other: 1879793 HIGHMARK PROVIDER #
Hospital affiliation n/a

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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