| NPI | 1689871642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SHEINEN Psychologist 215-855-4962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS003030L) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2008-11-26 |