Individual
MARY OLEARY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3701 BURGOON ROAD, ALTOONA, PA 16602-1715
(814) 942-4045
(814) 944-0419
Mailing address
3701 BURGOON ROAD, ALTOONA, PA 16602-1715
(814) 942-4045
(814) 944-0419
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008198L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
547426000
HIGHMARK
PA
Enumeration date
03/12/2007
Last updated
10/15/2007
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