| NPI | 1861711939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT J SCOTILLA Owner/Psychologist 814-867-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016517) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS016517) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS016517) | |
| 103TF0200X Psychologist, Forensic (Licence: PA PS016517) | |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2022-01-11 |