Doctor Name: | DR. JOHN D BIXLER |
NPI Number: | 1790902468 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D |
License Number: | PS008122L |
Business Practice Address: | 326 Roaring Run Rd Boswell, PA - 155311829 |
Business Phone Number: | 8146293006 |
Business Fax Number: | 8146293007 |
Mailing Address: | 326 Roaring Run Rd, BOSWELL |
State: | PA |
Postal Code: | 155311829 |
Phone Number: | 8146293006 |
Fax Number: | 8146293007 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 11/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | PS008122L |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |