| NPI | 1063842284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA VAUGHN FEIL Psychologist 570-723-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017141) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW000402L) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2014-01-29 |