| NPI | 1295187425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE MAE CHAUNDY Owner, Sole Proprietor 610-301-8360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS018003) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016069) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2021-08-03 |