| NPI | 1194065524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BADGLEY Clinical Psychologist 610-500-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016840) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-11-08 |