Mary Ten Broech Durso, LICENSED PSYCHOLOGIS
NPI #1942259619 in Moutaintop, Pennsylvania
Provider Information
- NPI Number
- 1942259619
- Entity Type
- Individual
- Name
- Mary Ten Broech Durso, LICENSED PSYCHOLOGIS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychologist
- Credential
- LICENSED PSYCHOLOGIS
- Enumeration Date
- May 9, 2006
- Last Updated
- Apr 9, 2014
Practice Location
- Address
- 359 S MOUNTAIN BLVD
- Address 2
- SUITE C2
- City
- Moutaintop
- State
- Pennsylvania
- ZIP Code
- 18707
- Phone
- (570) 403-5080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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