| White Deer Run, Llc | |
|
8284 Leaser Road Kempton PA 19529 | |
| (610) 756-4023 | |
| Not Available |
| Full Name | White Deer Run, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8284 Leaser Road, Kempton, Pennsylvania |
| Authorized Official Name and Position | Christopher Howard (VICE PRESIDENT AND SECRETARY) |
| Authorized Official Contact | 6158616000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Deer Run, Llc Po Box 199 Kempton PA 19529-0199 Ph: (610) 756-4023 | White Deer Run, Llc 8284 Leaser Road Kempton PA 19529 Ph: (610) 756-4023 |
| NPI Number | 1649391319 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649391319 | NPI | - | NPPES |
| 1007567870068 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 397052 (Pennsylvania) | Secondary |
| 251S00000X | Community/behavioral Health | SS1960505 (Pennsylvania) | Primary |
Dr Allison Blechschmidt Clinical Psychologist Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9088 Airfield Ct, Kempton, PA 19529 Phone: 610-393-6639 |