| NPI | 1578990610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH WEINBERG Credentialing Supervisor 215-493-1750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |