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 |