| NPI | 1386025989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD S. KAISER Supervising Psychologist 215-955-2743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: PA PS017694) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |