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 |