| NPI | 1750303368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WALTERS Director 610-970-5234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS004340L) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-02-01 |