Provider Demographics
NPI:1528734779
Name:PROGRESSIVE PSYCHIATRY, PC
Entity type:Organization
Organization Name:PROGRESSIVE PSYCHIATRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SILAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-868-8505
Mailing Address - Street 1:2335 W 38TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-4575
Mailing Address - Country:US
Mailing Address - Phone:814-868-8505
Mailing Address - Fax:814-868-8515
Practice Address - Street 1:2335 W 38TH ST STE 2
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4575
Practice Address - Country:US
Practice Address - Phone:814-868-8505
Practice Address - Fax:814-868-8515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty