Organization Name: | ASSOCIATES IN BEHAVIORAL DIAGNOSTICS AND TREATMENT, LLC |
NPI Number: | 1659649911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMANDA PELPHREY (PSYCHOLOGIST/OWNER) |
Mailing Address: | 1150 Thorn Run Rd Suite 110 Moon Twp |
State: | PA US |
Postal Code: | 151083102 |
Phone Number: | 4123297778 |
Fax Number: | |
NPI Enumeration Date: | 12/01/2011 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |