NPI | 1588723282 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY AMES Psychologist 610-664-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS005947L) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016410) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2012-03-26 |