| NPI | 1427430008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HANNA Clinical Psychologist 814-449-2534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.008244) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |