| NPI | 1356421580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY R BLOOMFIELD Owner 610-527-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS002631L) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2009-01-14 |