Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | PA |
NPI | 1013520477 |
---|---|
Provider Name | Colleen Bell |
First Address | Springtown, PA 18081-0328 |
Second Address | Springtown, PA 18081 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2020 |
Last Update Date | 26/08/2020 |