| NPI | 1710547013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA COLE Clinical Child Psychologist 570-490-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |