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General NPI Number Information
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NPI Number | 1528193760
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Entity Type | Organization
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Legal Business Name | PSYCHIATRIC ASSOCIATES OF CENTRAL PENNSYLVANIA
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 20 ERFORD RD SUITE 101
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City | LEMOYNE
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State | PA
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Zip | 17043-1163
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Country | US
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Telephone | 717-730-8555
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Fax | 717-730-4566
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Provider Business Mailing Address
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Address Line | 20 ERFORD RD SUITE 101
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City | LEMOYNE
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State | PA
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Zip | 17043-1163
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Country | US
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Telephone | 717-730-8555
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Fax | 717-730-4566
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Authorized Official
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Title or Position | OWNER
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Name | MS. SUSAN L GILIUS
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Credential | M.S.
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Telephone | 717-730-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS-006908-L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW-000754-E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-025872-E
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD-065197-L
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD-057672L
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License Number State | PA
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