| NPI | 1487083226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH G SMALL Owner 717-795-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS004858-L) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2013-11-02 |