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P360 CARE SERVICES PLLC DBA PSYCH 360 1750058202

Overview
Name: P360 CARE SERVICES PLLC DBA PSYCH 360 Specialty: Psychiatric/Mental Health Nurse Practitioner Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers Classification: Nurse Practitioner Specialization: Psychiatric/Mental Health. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: P360 CARE SERVICES PLLC DBA PSYCH 360,2600 WILLOW STREET PIKE N STE 116,WILLOW STREET,PA,175849385,US Mailing Address: P360 CARE SERVICES PLLC DBA PSYCH 360,3593 MEDINA RD # 181,MEDINA,OH,442568182,US
Contact #
Practice location phone #: 3305363746 Practice location fax #: Mailing address Phone #: 3305363746 Mailing Address fax #: 3302674250 Authorized official Name/Telephone #:ROBERT, SEAN, RAE, MD, OWNER 3305363746
Misc
Date NPI was obtained: 08/24/2021 Last data data was updated: 09/09/2021 Insurances:

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