Registry details
Type
Organization
Primary specialty
Psychiatry & Neurology, Psychiatry
Enumerated
Nov 30, 2005
License(s)
SW126460 (PA), CW015803 (PA), MF000529 (PA), MD 026802E (PA), MA050936 (PA), MD041016L (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 116 LARCH ST STE 300 | Scranton, PA 18509-2802 | 570-489-5561 |
| MAILING | 116 LARCH ST STE 300 | Scranton, PA 18509-2802 | 570-489-5561 |
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