| NPI | 1487681615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L BRYAN Adminstration 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS007440L) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-07-02 |