| NPI | 1013408814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE VALENTINE Director 610-436-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016799) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |