| Doctor Name: | TODD DANIEL NEGOLA |
| NPI Number: | 1033357512 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PSY.D. |
| License Number: | PS009088L |
| Business Practice Address: | 2907 Pleasant Valley Blvd Altoona, PA - 166024305 |
| Business Phone Number: | 8149438164 |
| Business Fax Number: | |
| Mailing Address: | Po Box 293, DUNCANSVILLE |
| State: | PA |
| Postal Code: | 166350293 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/22/2009 |
| NPI Last Update Date: | 01/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS009088L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |