Organization
NEW LIFE PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E PUGH PH.D. (PSYCHOLOGIST)
(717) 606-7652
Entity
Organization
Contact information
Practice address
1025 S COCALICO RD, DENVER, PA 17517-9545
(717) 606-7652
(717) 336-4014
Mailing address
1025 S COCALICO RD, DENVER, PA 17517-9545
(717) 606-7652
(717) 336-4014
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006830L
PA
Other
Enumeration date
01/30/2013
Last updated
05/04/2016
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