| NPI | 1750523486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M GORDON Psychologist 610-417-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis (Licence: PA PS002387L) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: PA PS002387L) |
| 103T00000X Psychologist (Licence: PA PS002387L) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS002387L) | |
| 103TC1900X Psychologist, Counseling (Licence: PA PS002387L) | |
| 103TF0000X Psychologist, Family (Licence: PA PS002387L) | |
| 103TF0200X Psychologist, Forensic (Licence: PA PS002387L) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: PA PS002387L) | |
| 106H00000X Marriage & Family Therapist (Licence: PA PS002387L) | |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2014-11-17 |