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Organization
PSYCHOLOGICAL SERVCIES LLC
Active
Organization
PSYCHOLOGICAL SERVCIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY DUTKO PH.D., LPC (PH.D., LPC)
(814) 312-3459
Entity
Organization
Contact information
Practice address
615 HOWARD AVE STE 207, ALTOONA, PA 16601-4813
(814) 312-3459
Mailing address
835 SCHOOLHOUSE DR, ASHVILLE, PA 16613-7514
(814) 312-3459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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