| NPI | 1497643514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH EDWARD SIDEMAN Practice Owner 215-586-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-06-26 |