Organization
EDINBORO COUNSELING AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR MASONE JR. PH.D. (PSYCHOLOGIST)
(814) 734-3975
Entity
Organization
Contact information
Practice address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265
Mailing address
7052 ROUTE 6N, EDINBORO, PA 16412-9610
(814) 734-3975
(814) 734-1265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011606710001
—
PA
Enumeration date
03/07/2013
Last updated
12/06/2022
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