| Emily Program Pc | |
|
50 Pennwood Pl Warrendale PA 15086 | |
| (888) 364-5977 | |
| Not Available |
| Full Name | Emily Program Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 50 Pennwood Pl, Warrendale, Pennsylvania |
| Authorized Official Name and Position | Meredith Trudgeon (CREDENTIALING MANAGER) |
| Authorized Official Contact | 9197670274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Program Pc 1295 Bandana Blvd. W., Suite 210 St. Paul MN 55108-5338 Ph: (866) 364-5977 | Emily Program Pc 50 Pennwood Pl Warrendale PA 15086 Ph: (888) 364-5977 |
| NPI Number | 1508247040 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 08/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508247040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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