NPI | 1184835423 |
---|---|
Entity Type | Organization |
Authorized Contact | ROGER KEITH FRETZ President 717-627-4624 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS003768L) |
Enumeration Date | 2007-05-25 |
Last Update Date | 2011-09-21 |