| NPI | 1700949161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN ROBERT KOCH President Licensed Psychologist 610-266-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA PS005286L) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |