Healthcare Provider Details

I. General information

NPI: 1801623723
Provider Name (Legal Business Name): NEXT STEP CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2024
Last Update Date: 09/16/2024
Certification Date: 09/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 STEFFEE BLVD
SENECA PA
16346-3039
US

IV. Provider business mailing address

145 STEFFEE BLVD
SENECA PA
16346-3039
US

V. Phone/Fax

Practice location:
  • Phone: 814-677-1390
  • Fax:
Mailing address:
  • Phone: 814-677-1390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MELISSA BEAN
Title or Position: PRESIDENT
Credential:
Phone: 814-677-1390