| NPI | 1114134905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS G. BOWERS President 717-901-9280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS005101L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS005101L) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS005101L) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2016-01-08 |