# THE PENNSYLVANIA STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Psychological Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386784593
- **Authorized official:** HANNAH NOEL HOLSING CPB, CPMA (COMPLIANCE SPECIALIST)
- **Authorized official phone:** (814) 863-2680

## Contact information

- **Practice address:** 337 MOORE BUILDING, UNIVERSITY PARK, PA 16802-3103
- **Practice address phone:** (814) 865-2191
- **Practice address fax:** (814) 863-1331
- **Mailing address:** 337 MOORE BUILDING, UNIVERSITY PARK, PA 16802-3103
- **Mailing address phone:** (814) 865-2191
- **Mailing address fax:** (814) 863-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 251K00000X | Public Health or Welfare Agency | 327550 | PA | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 01/02/2024