| NPI | 1104970227 |
|---|---|
| Other Name | L.C.C.C.S CHILDREN'S DEVELOPMENT CENTER |
| Entity Type | Organization |
| Authorized Contact | ANTHONY P. PERROTTA Executive Director 570-326-0565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: PA SL000825L) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS005489L) |
| 103T00000X Psychologist (Licence: PA PS005489L) | |
| 103TC0700X Psychologist Clinical (Licence: PA PS005489L) | |
| 225100000X Physical Therapist (Licence: PA PT000490E) | |
| 225100000X Physical Therapist (Licence: PA PT002737L) | |
| 225100000X Physical Therapist (Licence: PA PT016332L) | |
| 225X00000X Occupational Therapist (Licence: PA OC006418L) | |
| 235Z00000X Speech-Language Pathologist (Licence: PA SL002712L) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2009-09-28 |