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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