Organization
PSYCHOLOGICAL AND NEUROBEHAVIORAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN J ECHEMENDIA PHD (PRESIDENT)
(814) 235-5588
Entity
Organization
Contact information
Practice address
204 E CALDER WAY STE 205, STATE COLLEGE, PA 16801-4756
(814) 235-5588
Mailing address
204 E CALDER WAY STE 205, STATE COLLEGE, PA 16801-4756
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4781L
PA
103TC0700X
Clinical Psychologist
Primary
015110
PA
1041C0700X
Clinical Social Worker
CW016233
PA
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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