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Individual

DR. JOE MARTIN UTAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12045 PERRY HWY, WEXFORD, PA 15090-8394
(724) 940-1090
(724) 940-1030
Mailing address
12045 PERRY HWY, WEXFORD, PA 15090-8394
(724) 940-1090
(724) 940-1030

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PC002229
PA
103TB0200X
Cognitive & Behavioral Psychologist
PC002229
PA
103TC1900X
Counseling Psychologist
PC002229
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PC002229
PA
103TF0000X
Family Psychologist
MF000231
PA
103TH0004X
Health Psychologist
PC002229
PA
103TP2701X
Group Psychotherapy Psychologist
PC002229
PA
103TS0200X
School Psychologist
PC002229
PA

Other

Enumeration date
10/07/2009
Last updated
10/07/2009
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