| NPI | 1386023869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYO MARIA GOODEN Licensed Psychologist 610-453-2849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016573) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016573) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS016573) | |
| 103TC1900X Psychologist, Counseling (Licence: PA PS016573) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016573) | |
| 103TF0000X Psychologist, Family (Licence: PA PS016573) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS016573) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |