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Organization

SCENERY PARK PSYCHOLOGY GROUP

Active
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Organization

SCENERY PARK PSYCHOLOGY GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JAMES TOLAN PHD (PARTNER)
(814) 237-0551
Entity
Organization

Contact information

Practice address
110 REGENT COURT, SUITE 103, STATE COLLEGE, PA 16801
(814) 237-0551
(814) 237-0564
Mailing address
110 REGENT COURT, SUITE 103, STATE COLLEGE, PA 16801
(814) 237-0551
(814) 237-0564

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03111100
CAPITAL BLUE CROSS
PA
01
SC1514369
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/02/2006
Last updated
08/22/2020
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