| NPI | 1306977491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH PETER PRIMAVERA President 215-625-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS004716L) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |