| NPI | 1144351875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL UTAY Executive Director 724-940-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PC002229) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: PA PC002229) |
| 103G00000X Clinical Neuropsychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PC002229) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PC002229) | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities (Licence: PA PC002229) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: PA PC002229) | |
| 103TS0200X Psychologist School (Licence: PA 05004113) | |
| 106H00000X Marriage & Family Therapist (Licence: PA MF000231) | |
| 235Z00000X Speech-Language Pathologist (Licence: PA 003893L) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2009-10-02 |