Organization
ELIZABETH WALLACH MA PSYCHOLOGIST
Active
Parent organization
ELIZABETH WALLACH MA PSYCHOLOGIST
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELIZABETH WALLACH MA PSYCHOLOGIST
Authorized official
ELIZABETH WALLACH MA (PSYCHOLOGIST)
(724) 413-4991
Entity
Organization
Contact information
Practice address
2809 OLD WASHINGTON RD, MCMURRAY, PA 15317
(724) 413-4991
(724) 941-2595
Mailing address
2809 OLD WASHINGTON RD, MCMURRAY, PA 15317
(724) 413-4991
(724) 941-2595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PS6340L
PA
103T00000X
Psychologist
Primary
PS6340L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015239920001
—
PA
Enumeration date
03/26/2008
Last updated
03/26/2008
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