Individual provider · Type 1 NPI

Brenton Jay Seung Hoon Song, DO

Child & Adolescent Psychiatry Physician · Erie, PA

NPI number 1184117004 Active

Practice location

4740 Peach St
Erie, PA 16509-2008

Call (814) 454-3174 Map

Fax (814) 616-8002

Mailing address

1 Lecom Pl
Erie, PA 16505-2571

Other practice locations

  • 537 W 18th St, Erie, PA 16502-1722 · (814) 454-3174

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician Primary 2084P0804XOS021405 (PA)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1184117004

Brenton Jay Seung Hoon Song, DO's National Provider Identifier is 1184117004, issued on Jun 14, 2018. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Erie, PA. The record was last updated on May 31, 2023.