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NPI Code Detail

MEDICARE: CHILD AND ADOLESCENT PSYCHIATRIC SOLUTIONS LLC

MEDICARE: CHILD AND ADOLESCENT PSYCHIATRIC SOLUTIONS LLC
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
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
32084P0804XChild & Adolescent Psychiatry Physician
42084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1780055731
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILD AND ADOLESCENT PSYCHIATRIC SOLUTIONS LLC
Provider Business Mailing Address
First Line : 9855 RINAMAN RD
Second Line :
City : WEXFORD
State : PA
Zip : 15090-9226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9855 RINAMAN RD
Second Line :
City : WEXFORD
State : PA
Zip : 15090-9226
Country : US
Telephone Number : 724-799-8558
Fax Number : 412-430-3383
Authorized Official
Title or Position : CHILD AND ADOLESCENT PSYCHIATRIST
Name : DAN UDREA
Credential : M.D.
Telephone Number : 724-799-8558
Provider Enumeration Date : 10/16/2015
Last Update Date : 10/26/2023

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Directions to “CHILD AND ADOLESCENT PSYCHIATRIC SOLUTIONS LLC ” Practice Location

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