| NPI | 1588642862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J. DOLAN Licensed Psychologist 610-434-2431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS-006761-L) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PA PS-006761-L) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-08-22 |