| NPI | 1134072796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVA DORRIS Psychologist 814-572-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |