| NPI | 1699034934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN M TIMCHACK Psychologist/Owner 570-714-1981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016722) |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |