| NPI | 1629143292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALVIN HOGAN President 610-656-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA psy7029) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |