| NPI | 1104993864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY KOCH Psychologist 724-728-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-08-07 |