| NPI | 1144770884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE JONG-SHIK SUH Clinical Psychologist 215-207-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016534) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2019-12-12 |