Luzerne Wyoming County Mh Center #1

NPI 1073634465 - Psychologist - 103TC1900X

NPI Details
NPI 1073634465
Enumeration Date 04/03/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOSEPH H JOSEPH
Position CEO
Phone (570) 552-3760
Fax (570) 552-3765
Practice Location
562 WYOMING AVE
KINGSTON PA, 18704-3721, US
Phone (570) 552-3760
Fax (570) 552-3765
Business Location
562 WYOMING AVE
KINGSTON PA, 18704-3721, US
Phone (570) 552-3900
Fax (570) 552-3907
Toxanomy
Taxonomy Code 103TC1900X
License State
License Number
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According to our database, Luzerne Wyoming County Mh Center #1 NPI is 1073634465, taxonomy code is 103TC1900X Luzerne Wyoming County Mh Center #1 physically located at 562 Wyoming Ave, Kingston PA, 18704-3721. NPI Number 1033115704 has the healthcare provider type.

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1073634465 NPI number is provided on an as is basis without warranty of any kind. 1073634465 is maintained by the National Plan & Provider Enumeration System. The contents of Luzerne Wyoming County Mh Center #1 are for informational purposes only.