NPI | 1326559600 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY BLAKISTON HART Licensed Psychologist 717-600-8181 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PSO15378) |
Enumeration Date | 2017-10-13 |
Last Update Date | 2017-10-13 |