| NPI | 1619384476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI DALZELL President 215-630-7154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016112) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |