| NPI | 1568418721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYJEAN O'BYRNE Office Manager 215-233-3994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-03-07 |