| NPI | 1235476078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID THOMAS WEIBEL President 215-779-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 1137) |
| Enumeration Date | 2013-01-14 |
| Last Update Date | 2022-09-19 |