| NPI | 1578971750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC GRAMATGES Neuropsychologist 484-445-4147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017448) |
| Additional Taxonomies | 103TR0400X Psychologist, Rehabilitation (Licence: PA PS017448) |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS017448) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS017448) | |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2016-10-21 |