| NPI | 1306276274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAPIRO Owner 814-308-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017314) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS017314) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2015-07-29 |