| NPI | 1790774248 |
|---|---|
| Other Name | ROMAN J PASTUSHAK |
| Entity Type | Organization |
| Authorized Contact | ROMAN JOSEPH PASTUSHAK Pres Sole Owner 215-364-1799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS2609L) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: DE B10000525) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2020-08-22 |