| NPI | 1164634200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BERGESON President 570-524-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015237) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-10 |