| NPI | 1629578281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BUCKLEY REITZ Practice Owner 814-574-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-03-01 |