| Geisinger Clinic | |
|
12 Lily Lake Road Waverly PA 18471-7736 | |
| (570) 563-1112 | |
| (570) 563-1138 |
| Full Name | Geisinger Clinic |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 02/27/2025 |
| Last Update Date | 02/27/2025 |
| Certification Date | 02/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700683661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |