Provider Demographics
NPI:1659679306
Name:KREINBROOK PSYCHOLOGICA SERVICES
Entity Type:Organization
Organization Name:KREINBROOK PSYCHOLOGICA SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:KREINBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-836-4662
Mailing Address - Street 1:40 HUFF AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5318
Mailing Address - Country:US
Mailing Address - Phone:724-836-4662
Mailing Address - Fax:
Practice Address - Street 1:40 HUFF AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5318
Practice Address - Country:US
Practice Address - Phone:724-836-4662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty