| NPI | 1386730778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY JAMES FISCHETTO Director 610-777-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS005976L) |
| Additional Taxonomies | 251S00000X (Licence: PA PS005976L) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |