Organization
NORTHSHORE PSYCHOLOGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCHWABENBAUER PHD (PARTNER)
(814) 877-8013
Entity
Organization
Contact information
Practice address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 877-8013
(814) 877-8007
Mailing address
120 E 2ND ST, THIRD FLOOR, ERIE, PA 16507-1537
(814) 877-8013
(814) 877-8007
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019240150003
—
PA
Enumeration date
11/03/2005
Last updated
02/12/2015
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