Organization
COMMUNITY EVALUATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL NOAM WARNER PH,D. (EXECUTIVE CLINICAL DIRECTOR)
(814) 262-0025
Entity
Organization
Contact information
Practice address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
Mailing address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017016
PA
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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