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Contact Information

BRADDOCK CENTER FOR BEHAVIORAL MEDICINE
200 MEDICAL ARTS BLDG
SUITE 240
KITTANNING, PA16201-7132
 Phone: 724-543-1043
 Fax: 724-545-1857
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for BRADDOCK CENTER FOR BEHAVIORAL MEDICINE · (Female)

NPI Number 1851329841
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2006
Last updated 06/25/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # CW000943L
  • PA License # CW014441
  • PA License # CW103528
  • PA License # MD025396E
  • PA License # PS000548L
  • PA License # PS007325L
  • PA License # SW002354E
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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