| NPI | 1003090291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD NEWELL Director, Business Development 215-487-4692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS013039) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS005231L) | |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2009-04-01 |