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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
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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