# THREE RIVERS PSYCHOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326605395
- **Authorized official:** BEN B FALLON (CEO)
- **Authorized official phone:** (724) 799-0262

## Contact information

- **Practice address:** 140 PENNSYLVANIA AVE, OAKMONT, PA 15139-1923
- **Practice address phone:** (724) 799-0262
- **Mailing address:** 212 SEANOR RD, IRWIN, PA 15642-9441
- **Mailing address phone:** (724) 799-0262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | NULL | Yes |
| 103TC2200X | Clinical Child & Adolescent Psychologist | — | — | Yes |
| 103TS0200X | School Psychologist | — | NULL | — |
| 103TS0200X | School Psychologist | — | — | — |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 05/24/2019