Provider First Line Business Practice Location Address:
120 EAST 2ND ST
Provider Second Line Business Practice Location Address:
NORTHSHORE PSYCHOLOGICAL ASSOCIATES LLC
Provider Business Practice Location Address City Name:
ERIE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16507
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-452-8213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2006