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NPI Code Detail

MEDICARE: JOEL A. GIDES MS

MEDICARE: JOEL A. GIDES MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorPC006291PA

General Provider Information

NPI Number : 1619262540
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEL A. GIDES MS
Provider Business Mailing Address
First Line : 304 FRANKSTOWN RD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4231
Country : US
Telephone Number : 814-283-5550
Fax Number :
Provider Business Practice Location Address
First Line : 304 FRANKSTOWN RD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4231
Country : US
Telephone Number : 814-283-5550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2011
Last Update Date : 01/07/2026

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