Organization
STATE OF MIND NEUROPSYCHOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA HELENE PUSKAR PSY.D (OWNER/NEUROPSYCHOLOGIST)
(724) 317-1647
Entity
Organization
Contact information
Practice address
2714 MEMORIAL BLVD, CONNELLSVILLE, PA 15425-1406
(724) 317-1647
Mailing address
PO BOX 420, PERRYOPOLIS, PA 15473-0420
(724) 317-1647
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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