| NPI | 1316092158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J. DIGIACOMO Psychologist 610-692-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS003402-L) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: PA PS003402-L) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |