| NPI | 1730423823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX M. SIEGEL Psychologist 610-668-4240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: PA PS-005568-L) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |