Susquehanna Valley Professional Associates, INC
NPI #1578543054 in State College, Pennsylvania
Provider Information
- NPI Number
- 1578543054
- Entity Type
- Organization
- Organization Name
- Susquehanna Valley Professional Associates, INC
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Jan 19, 2006
- Last Updated
- Apr 15, 2015
Practice Location
- Address
- 320 ROLLING RIDGE DR
- Address 2
- SUITE 100
- City
- State College
- State
- Pennsylvania
- ZIP Code
- 16801-7641
- Phone
- (814) 867-0670
Authorized Official
- Name
- TIMOTHY HANS DERSTINE, M.D.
- Title
- MANAGING DIRECTOR
- Phone
- (814) 867-9755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
| Psychologist - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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