| NPI | 1417103912 |
|---|---|
| Doing Business As | JEAN POLLACK |
| Entity Type | Organization |
| Authorized Contact | JEAN F POLLACK Psychologist 888-821-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PSOO6977) |
| Additional Taxonomies | 251S00000X (Licence: PA PS006977) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2012-03-06 |