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BLACKBIRD CLINICAL SERVICES PC NPI 1598524563


NPI Information

NPI: 1598524563
Provider Name: BLACKBIRD CLINICAL SERVICES PC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1247 S CEDAR CREST BLVD STE 107
ALLENTOWN, PA
ZIP 18103
Phone: (484) 202-0751
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BLACKBIRD CLINICAL SERVICES PC is a child and adolescent psychiatry psychiatry neurology in Allentown, PA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. BLACKBIRD CLINICAL SERVICES PC NPI is 1598524563. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1247 S CEDAR CREST BLVD STE 107
ALLENTOWN, PA
ZIP 18103-347
Phone: (484) 202-0751
Fax: (610) 770-1805

The provider's authorized official is Matthew Keener .
The authorized official title is Chief Medical Officer and has the following contact phone number (412) 527-6496.

The enumeration date for this NPI number is 3/13/2024 and was last updated on 3/13/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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