NPI | 1801027024 |
---|---|
Entity Type | Organization |
Authorized Contact | RUBEN J ECHEMENDIA President 814-235-5588 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA 015110) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA 4781L) |
1041C0700X Social Worker Clinical (Licence: PA CW016233) | |
Enumeration Date | 2009-08-05 |
Last Update Date | 2009-08-05 |