| NPI | 1437989258 |
|---|---|
| Doing Business As | THERAPY PORTLAND CORPORATION PC |
| Entity Type | Organization |
| Authorized Contact | MYRA BAZELL Psychotherapist 215-917-3367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |