Organization
GAMBLING TREATMENT ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE ANTHONY HOOVER PHD (CHIEF EXECUTIVE OFFICER)
18009557938
Entity
Organization
Contact information
Practice address
821 MAIN ST, 2ND FLOOR, PITTSBURGH, PA 15215-2209
(800) 955-7938
(141) 278-2680
Mailing address
RR 1 BOX 61H1, TIONESTA, PA 16353-9610
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS008756L
PA
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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