Susquehanna Health Medical Group | |
1100 Grampian Blvd Williamsport PA 17701-1909 | |
(570) 320-7525 | |
(570) 320-7484 |
Full Name | Susquehanna Health Medical Group |
---|---|
Speciality | Social Worker - Clinical |
Location | 1100 Grampian Blvd, Williamsport, Pennsylvania |
Authorized Official Name and Position | Melissa Davis (VP/COO) |
Authorized Official Contact | 5703207696 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susquehanna Health Medical Group 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Health Medical Group 1100 Grampian Blvd Williamsport PA 17701-1909 Ph: (570) 320-7525 |
NPI Number | 1255527255 |
---|---|
Provider Enumeration Date | 09/24/2007 |
Last Update Date | 01/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255527255 | NPI | - | NPPES |
0017300760165 | Medicaid | PA | |
2097838 | Other | PA | HIGHMARK BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
News Archive
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