Geisinger Clinic | |
12 Lily Lake Road Waverly PA 18471-7736 | |
(570) 563-1112 | |
(570) 563-1138 |
Full Name | Geisinger Clinic |
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Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 12 Lily Lake Road, Waverly, Pennsylvania |
Authorized Official Name and Position | Cindy L Mull (SYSTEM DIRECTOR CREDENTIALING) |
Authorized Official Contact | 5702716603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geisinger Clinic 100 N Academy Ave Danville PA 17822-4903 Ph: (570) 271-6144 | Geisinger Clinic 12 Lily Lake Road Waverly PA 18471-7736 Ph: (570) 563-1112 |
NPI Number | 1700683661 |
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Provider Enumeration Date | 02/27/2025 |
Last Update Date | 02/27/2025 |
Certification Date | 02/25/2025 |
Identifier | Type | State | Issuer |
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1700683661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |