| NPI | 1508018847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSSIE ESHUN Psychologist 570-424-6734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015651) |
| Enumeration Date | 2008-10-17 |
| Last Update Date | 2008-10-17 |