Organization · Type 2 NPI

Adelphoi Village, Inc.

Addiction Medicine (Psychiatry & Neurology) Physician · Latrobe, PA

NPI number 1841317575 Active

Practice location

1119 Village Way
Latrobe, PA 15650-5201

Fax (724) 520-1878

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401X423910 (PA)
Forensic Psychiatry Physician 2084F0202X423910 (PA)
Neurology Physician 2084N0400X423910 (PA)
Neurodevelopmental Disabilities Physician 2084P0005X423910 (PA)
Mental Illness Community Based Residential Treatment Facility 320800000XNone listed

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

5 other providers at this address

About NPI 1841317575

Adelphoi Village, Inc.'s National Provider Identifier is 1841317575, issued on Mar 26, 2007. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Latrobe, PA. The record was last updated on Nov 24, 2020.