Provider Demographics
NPI:1861783201
Name:CENTER FOR APPLIED PSYCHOLOGY
Entity type:Organization
Organization Name:CENTER FOR APPLIED PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, CENTER FOR APPLIED PSYCH.
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:UREY
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-357-4522
Mailing Address - Street 1:UHLER HL RM 238
Mailing Address - Street 2:1020 OAKLAND AVENUE
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15705-1064
Mailing Address - Country:US
Mailing Address - Phone:724-357-6228
Mailing Address - Fax:724-357-7817
Practice Address - Street 1:UHLER HL RM 238
Practice Address - Street 2:1020 OAKLAND AVENUE
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15705-1064
Practice Address - Country:US
Practice Address - Phone:724-357-6228
Practice Address - Fax:724-357-7817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003325L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty