| NPI | 1568754018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA R ROMANELLI Billing 724-387-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS005301L) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |