| NPI | 1356758221 |
|---|---|
| Former Legal Business Name | THE PERFORMANCE PSYCHOLOGIST, LLC |
| Entity Type | Organization |
| Authorized Contact | RAQUEL A ROMIROWSKY Owner 215-285-6291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS016435) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2015-06-05 |