NPI | 1528055811 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY D CHAMPLIN Clinical Director 610-777-5459 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS-002800-L) |
Enumeration Date | 2005-10-01 |
Last Update Date | 2008-02-16 |