Organization
PEOPLE IN NEED - LAWRENCE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYLE KISSICK (CREDENTIALING)
(724) 657-3303
Entity
Organization
Contact information
Practice address
2703 W STATE ST, NEW CASTLE, PA 16101-8671
(724) 657-3303
(724) 657-3326
Mailing address
2703 W STATE ST, NEW CASTLE, PA 16101-8671
(724) 657-3303
(724) 657-3326
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015405
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS015405
PA
103TC0700X
Clinical Psychologist
PS015405
PA
103TC1900X
Counseling Psychologist
PS015405
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS015405
PA
103TF0000X
Family Psychologist
PS015405
PA
103TF0200X
Forensic Psychologist
PS015405
PA
103TH0100X
Health Service Psychologist
PS015405
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS015405
PA
103TR0400X
Rehabilitation Psychologist
PS015405
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
850486
HIGHMARK OTHER PRODUCTS
PA
Enumeration date
11/09/2006
Last updated
11/17/2010
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