Organization
RALPH E. LANDEFELD PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH EDWIN LANDEFELD PH.D. (OWNER/PSYCHOLOGIST)
(724) 601-4901
Entity
Organization
Contact information
Practice address
15957 CONNEAUT LAKE RD., SUITE 7, MEADVILLE, PA 16335
(814) 336-5387
(814) 807-1416
Mailing address
10159 NANCY DRIVE, MEADVILLE, PA 16335
(814) 336-5387
(814) 817-1416
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002990L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146700
—
PA
Enumeration date
06/01/2010
Last updated
06/01/2010
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