| NPI | 1912945999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIE PUGH Credentialing And Billing Manager 724-458-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2020-08-22 |