| NPI | 1619326089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M COREN Psychologist 215-817-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TF0000X Psychologist, Family | |
| 104100000X Social Worker | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2017-05-03 |