| NPI | 1174929897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BICKERT Office Manager 484-201-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD431769) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |