| NPI | 1457364614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MARK DATTILIO Owner 610-434-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS006758-L) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2007-12-14 |