| NPI | 1659720738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MATTHEW VERNIG Psychologist 215-600-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017475) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |