Keystone Renaissance Family Services | |
215 Hickory St Scranton PA 18505-9208 | |
(570) 702-8500 | |
(570) 702-8575 |
Full Name | Keystone Renaissance Family Services |
---|---|
Speciality | Psychologist |
Location | 215 Hickory St, Scranton, Pennsylvania |
Authorized Official Name and Position | John A Reinhardt (PRESIDENT) |
Authorized Official Contact | 5707028500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Keystone Renaissance Family Services 215 Hickory St Scranton PA 18505-9208 Ph: (570) 702-8500 | Keystone Renaissance Family Services 215 Hickory St Scranton PA 18505-9208 Ph: (570) 702-8500 |
NPI Number | 1073873485 |
---|---|
Provider Enumeration Date | 05/18/2012 |
Last Update Date | 03/04/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073873485 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS003830L (Pennsylvania) | Primary |
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