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Organization

EDINBORO COUNSELING AND PSYCHOLOGICAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR MASONE JR. PH.D. (OWNER/PSYCHOLOGIST)
(814) 734-3975
Entity
Organization

Contact information

Practice address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265
Mailing address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-003450-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011606710001
PA
05
1032749600003
PA
05
606450
PA
Enumeration date
03/09/2017
Last updated
11/02/2023
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