| NPI | 1174517148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY TOME Billing Manager 412-823-5293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS000524L) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2023-12-06 |