Individual
MS. MIRIAM DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., NCSP
Contact information
Practice address
117 JUNIPER LN, LIGONIER VALLEY LEARNING CENTER INC, LIGONIER, PA 15658-9727
(724) 238-5556
(724) 238-9533
Mailing address
109 S MARKET ST, LIGONIER VALLEY LEARNING CENTER INC, LIGONIER, PA 15658-1214
(724) 238-0355
(724) 238-0352
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008125L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001348580007
—
PA
Enumeration date
12/30/2005
Last updated
07/08/2007
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