| NPI | 1477679546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY TEREO President 215-922-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: PA PS4431-L) |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis (Licence: NY 000394-1) |
| 103TP0814X Psychologist, Psychoanalysis (Licence: VT 098-0000066) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |