| NPI | 1073984183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN KOVACS Owner 570-521-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016798) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2016-03-07 |