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NPI Profile for GEISINGER CLINIC OUTPATIENT PSYCH in DANVILLE, PA.
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Professional |
101YP2500X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Rehabilitation |
103TR0400X | 62 | Psychologist, Clinical |
| NPI Number | 1548665441 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/04/2014 | |
| Last updated | 11/04/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GEISINGER CLINIC - OUTPATIENT PSYCH
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GEISINGER CLINIC - OUTPATIENT PSYCH