NPI | 1659665438 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN GANEY Psychologist/Owner 215-860-2525 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS016131L) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2011-06-08 |