| NPI | 1043500176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA ANN CHESLOCK Clinical Psychologist/ Owner 570-421-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS016434) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |