| NPI | 1013926583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE BEARD Office Manager 215-355-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-10-08 |