| NPI | 1407911274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER S SHEAFFER Practice Manager 717-581-5255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2020-08-22 |