NPI | 1689842767 |
---|---|
Entity Type | Organization |
Authorized Contact | JOAN S BACON President/Psychologist 610-928-3400 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS 007690L) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2008-04-09 |