| NPI | 1972759413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARY LIMERICK-GNAS Licensed Psychologist 724-630-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS006277 L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS006277 L) |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: PA PS 006277 L) | |
| 103TC0700X Psychologist Clinical (Licence: PA PS006277 L) | |
| 103TC1900X Psychologist Counseling (Licence: PA PS006277 L) | |
| 103TC1900X Psychologist Counseling (Licence: PA PS006277-L) | |
| 103TF0000X Psychologist Family (Licence: PA PS006277-L) | |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2009-09-02 |