NPI | 1164733408 |
---|---|
Entity Type | Organization |
Authorized Contact | CRAIG D. WEISS Owner 215-355-8812 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS005712L) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS005712L) |
106H00000X Marriage & Family Therapist (Licence: PA MF000480) | |
Enumeration Date | 2010-07-01 |
Last Update Date | 2010-07-01 |