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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

NPI Number 1851329841
LBN Legal business name BRADDOCK CENTER FOR BEHAVIORAL MEDICINE
Authorized official LOUIS HAUBER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/29/2006
Last updated 06/25/2008 - About 18 years ago
Identifiers
PA License # CW000943L
PA License # CW014441
PA License # CW103528
PA License # MD025396E
PA License # PS000548L
PA License # PS007325L
PA License # SW002354E
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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