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Baron T. Denniston M.d.
Mental Health Clinic/Center (Including Community Mental Health Center) in Erie, Pennsylvania
NPI 1902057045

Baron T. Denniston M.d. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Erie, PA and is specialized in Mental Health (Including Community Mental Health Center). Baron T. Denniston M.d. practices in Erie, PA. The NPI Number for Baron T. Denniston M.d. is 1902057045 and holds a License No. MD044333L (Pennsylvania).

The current practice location address for Baron T. Denniston M.d. is 150 E 8Th St, Erie, PA and can be reached out via phone at 814-456-1863.

Location: 150 E 8Th St, Erie, PA, 16501-1269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902057045
Provider Name
Baron T. Denniston M.d.
Credential
Provider Entity Type
Organization
Address
150 E 8Th St, Erie, PA, 16501-1269
Phone Number
814-456-1863
Fax Number
Provider Enumeration Date
10/07/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1249105 05 PA
institution
Provider Business Practice Location Address Details
Address
150 E 8Th St
City
Erie
State
Pennsylvania
Zip
16501-1269
Phone Number
814-456-1863
Fax Number
person
Provider Business Mailing Address Details
Address
150 E 8Th St
City
Erie
State
Pennsylvania
Zip
16501-1269
Phone Number
814-456-1863
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
()
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
MD044333L (Pennsylvania)
Definition
Definition to come...
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