Baron T. Denniston M.D.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Erie, PA. Organization (NPI-2).
NPI number1902057045
StatusActive
Last updated in NPPESOct 7, 2008
Details
- NPI
- 1902057045
- Entity type
- Organization (NPI-2)
- Legal business name
- Baron T. Denniston M.D.
- Organization subpart
- No
- Enumeration date
- Oct 7, 2008
- Last updated
- Oct 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 103TP0016X | Psychologist, Prescribing (Medical) | MD044333L | PA |
Practice location
150 E 8th StErie, PA 16501-1269
Phone 814-456-1863
Mailing address
150 E 8th StErie, PA 16501-1269
Phone 814-456-1863
Authorized official
Baron T. Denniston
Physican
8144561863
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