NPI | 1497837355 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENN ALLEN HEINRICHS CEO 215-444-9204 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015521) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |