| NPI | 1275916579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IRA MANDELBAUM Psychologist 302-429-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: DE B1000136) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2015-07-04 |