| NPI | 1346684602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL VANT ZELFDE Owner 610-941-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS005338L) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |