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GEISINGER CLINIC

Clinical Neuropsychologist

Danville, Pennsylvania

Provider NPI: 1427086065

Organization Information:
Organization Name:  GEISINGER CLINIC
Organization is not Subpart
Authorized Official:  CINDY L MULL  SYSTEM DIRECTOR ENROLLMENTS  570-2716603

Practice Location:
100 N ACADEMY AVE  DANVILLE, PA 17822 US
Tel: 570-271-6211  Fax: --

Business Mailing Address:
100 N ACADEMY AVE  DANVILLE, PA 17822 US
Tel: --  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
Y103T00000XBehavioral Health & Social Service Providers
Psychologist

Other Provider Identifiers:

IssuerNumberStateType
HIGHMARK BS#7746401
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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