| NPI | 1245650845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE BLACKFORD Psychologist 814-873-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS006739) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2018-11-01 |