| NPI | 1568536480 |
|---|---|
| Doing Business As | GOOD SHEPHERD REHAB HOSPITAL DEPARTMENT OF PSYCHOLOGY |
| Entity Type | Organization |
| Authorized Contact | RON PETULLA VP Finance CFO 610-776-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2017-09-05 |