| NPI | 1104287564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SYWULAK MANNINO Owner 215-355-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PA-003501-L) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2016-03-14 |