| NPI | 1205995669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY O LEARY WILEY Licensed Psychologist 814-942-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS008198L) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-04-23 |