Hamidian, Antoinette
Hamidian, Antoinette is an individual health care provider with primary practice located at 116 Larch St Ste 300 , Scranton PA 18509-2802. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Clinical, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Hamidian, Antoinette can be contacted via phone (570) 489-5561.Contact Information
Primary practice address
116 Larch St Ste 300
Scranton PA 18509-2802
Phone: (570) 489-5561
Fax: (570) 489-5563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | SL005220 L | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS016274 | Pennsylvania |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL005220 L | Pennsylvania |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS016274 | Pennsylvania |
Profile Details
| NPI number | 1417931601 |
|---|---|
| LBN Legal business name | Hamidian, Antoinette |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Jan 24th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417931601 | NPPES |
| Pennsylvania | Other | 976357 | HIGHMARK |
| Pennsylvania | Other | 201824875 | HIGHMARK |
| Pennsylvania | MEDICAID | 001698460004 | HIGHMARK |
| Pennsylvania | Other | 2669826 | HIGHMARK |
| Pennsylvania | Other | 7777308 | HIGHMARK |
| Pennsylvania | Other | 163625 | HIGHMARK |
| Pennsylvania | Other | 819422 | HIGHMARK |
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