| NPI | 1467704007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A REYNOLDS Owner 215-262-9182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: PA PS004613L) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2015-07-31 |