NPI | 1639559388 |
---|---|
Entity Type | Organization |
Authorized Contact | MATHEW SIPPLE Physician 814-454-1085 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA os013457) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2015-06-08 |