| Doctor Name: | MRS. AMY DIANE KLEISSAS |
| NPI Number: | 1184664344 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LPC001422 |
| Business Practice Address: | Psychological Associates Inc Ste 204 Allison Park, PA - 15101 |
| Business Phone Number: | 4124862948 |
| Business Fax Number: | 4124865676 |
| Mailing Address: | Psychological Associates Inc, Ste 204 ALLISON PARK |
| State: | PA |
| Postal Code: | 15101 |
| Phone Number: | 4124862948 |
| Fax Number: | 4124865676 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LPC001422 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |