| NPI | 1790041606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LIPTAK Operations Manager 814-272-3117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS009183L) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |