| 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 |