| NPI | 1588711006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LAWRENCE RIDER Owner 215-988-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS003688-L) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS003688-L) |
| 103TC0700X Psychologist, Clinical (Licence: PA PS003688-L) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-09-16 |