Provider First Line Business Practice Location Address:
140 MOORE BUILDING
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHOLOGY
Provider Business Practice Location Address City Name:
UNIVERSITY PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-863-1752
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/03/2019