L.C.C.C.S Children'S Development Center

LBN: Lycoming County Crippled Children'S
L.C.C.C.S Children'S Development Center is an health care organization with primary practice located at 625 W Edwin St , Williamsport PA 17701. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Lycoming County Crippled Children'S can be contacted via phone (570) 326-0565, or through Perrotta, Anthony P. via phone (570) 326-0565.

Contact Information

Primary practice address
625 W Edwin St Williamsport PA 17701
Phone: (570) 326-0565
Fax: (570) 329-2522
Website:
Map and Directions
Authorized official contact:
Name: Perrotta, Anthony P.
Phone: (570) 326-0565

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS005489L Pennsylvania
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS005489L Pennsylvania
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS005489L Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT000490E Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT002737L Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT016332L Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OC006418L Pennsylvania
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL000825L Pennsylvania
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL002712L Pennsylvania

Profile Details

NPI number 1104970227
LBN Legal business name Lycoming County Crippled Children'S
DBA Doing business as L.C.C.C.S Children'S Development Center
Authorized official Perrotta, Anthony P.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Sep 28th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104970227 NPPES
Pennsylvania MEDICAID 100004601
Pennsylvania Other 43093
Pennsylvania Other 000999239
Pennsylvania MEDICAID 1000046010005

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