Organization Name: | WESLEY SPECTRUM SERVICES |
NPI Number: | 1174679203 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARILYN SZPARA (EVP OF FINANCE) |
Mailing Address: | 5499 William Flynn Hwy Gibsonia |
State: | PA US |
Postal Code: | 150449675 |
Phone Number: | 4128319390 |
Fax Number: | 4128318868 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 06/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TB0200X |
License Number: | 422720 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Cognitive & Behavioral |
Taxonomy Definition: |