| NPI | 1699044214 |
|---|---|
| Former Legal Business Name | FBAOFPA.COM |
| Entity Type | Organization |
| Authorized Contact | MATT SHOLLENBERGER Matt Shollenberger, Ph.D, Pc 484-459-6423 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC002868) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2012-03-06 |