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 |