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Contact Information

PEDIATRIC CARE SPECIALISTS
1322 EISENHOWER BLVD
PEDIATRIC CARE SPECIALISTS
JOHNSTOWN, PA15904
 Phone: 814-266-8840
 Fax: 814-266-2176
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for PEDIATRIC CARE SPECIALISTS

NPI Number 1124310586
LBN Legal business name PEDIATRIC CARE SPECIALISTS
Authorized official PATRICIA AVRAMIS - (PRIVACY OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/04/2011
Last updated 05/04/2011 - About 15 years ago
Identifiers
PA License # CW015802
PA License # PS016634
PA Medicaid 1007708200003
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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