Provider Demographics
NPI:1700577350
Name:MEDICAL CARE FOR CHILDREN AND ADOLESCENTS WITH ADHD
Entity Type:Organization
Organization Name:MEDICAL CARE FOR CHILDREN AND ADOLESCENTS WITH ADHD
Other - Org Name:HEALING HANDS FOR ADHD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:CABALLERO-GOEHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:181-467-0026
Mailing Address - Street 1:3512 STATE ROUTE 257 STE 107
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:PA
Mailing Address - Zip Code:16346-2946
Mailing Address - Country:US
Mailing Address - Phone:814-670-0260
Mailing Address - Fax:814-253-2600
Practice Address - Street 1:3512 STATE ROUTE 257 STE 107
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2946
Practice Address - Country:US
Practice Address - Phone:814-670-0260
Practice Address - Fax:814-253-2600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-16
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty