| NPI | 1629432232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ELIZABETH ANGELL Licensed Psychologist 267-368-2678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017396) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS017396) |
| 103TF0000X Psychologist, Family (Licence: PA PS017396) | |
| 103TH0004X Psychologist, Health (Licence: PA PS017396) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2016-04-09 |