| NPI | 1235305210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN IRMA VICCHIULLO Psychologist 610-253-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS015116) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2025-01-31 |