| NPI | 1164546263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE MARIE ERCKERT Psychologist 215-817-2291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS007917-L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 3773) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2015-01-22 |