NPI | 1487945796 |
---|---|
Entity Type | Organization |
Authorized Contact | DUSTAN A BARABAS Psychologist 570-629-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS016559) |
Enumeration Date | 2011-04-21 |
Last Update Date | 2018-07-31 |