| NPI | 1114012002 |
|---|---|
| Doing Business As | PENN MEDICINE LGHP NEUROPYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | DENISE KENNEDY Vice President Financial Services 717-544-5010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-11-27 |