| NPI | 1205106358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET A BOYER President 215-407-9627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS005956-L) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |