Organization Name: | PSYCHOLOGY AND LEARNING CENTER |
NPI Number: | 1104993864 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOMINIC J DELUIGI (PSYCHOLOGIST) |
Mailing Address: | 337 3rd St Beaver |
State: | PA US |
Postal Code: | 150092302 |
Phone Number: | 7247286670 |
Fax Number: | 7247285570 |
NPI Enumeration Date: | 11/29/2006 |
NPI Last Update Date: | 11/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |