| NPI | 1922192475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MATERNA Co Owner 724-346-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS006635L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS007793L) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS006635L) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: PA PS006635L) | |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: PA PS007793L) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS006635L) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS007793L) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS006635L) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS007793L) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS007793L) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS006635L) | |
| 103TF0000X Psychologist, Family (Licence: PA PS006635L) | |
| 103TF0000X Psychologist, Family (Licence: PA PS007793L) | |
| 103TH0004X Psychologist, Health (Licence: PA PS006635L) | |
| 103TH0004X Psychologist, Health (Licence: PA PS007793L) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |