| 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 |