NPI | 1265870976 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL FITZGERALD MAYERS Owner/Operator 717-208-7340 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PSO16011) |
Enumeration Date | 2013-06-05 |
Last Update Date | 2014-07-07 |