| NPI | 1386628691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE YANICK Vice President 570-489-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD041016L) |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker (Licence: PA SW126460) | |
| 1041C0700X Social Worker Clinical (Licence: PA CW015803) | |
| 106H00000X Marriage & Family Therapist (Licence: PA MF000529) | |
| 174400000X Specialist (Licence: PA MD 026802E) | |
| 225100000X Physical Therapist | |
| 225400000X Rehabilitation Practitioner | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| 363AM0700X Physician Assistant Medical (Licence: PA MA050936) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2024-02-06 |