| NPI | 1508891433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE MARIE DONALDSON President 724-935-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015442) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-10-30 |