NPI | 1083167076 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN MARIE HETZEL Psychologist 484-547-1078 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: OH 6648) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2023-06-19 |