| NPI | 1801094560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ALBERT KOSSOR Licensed Psychologist 610-383-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS-003680-L) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS-003680-L) |
| 103TS0200X Psychologist, School (Licence: PA 149483872) | |
| Enumeration Date | 2007-07-04 |
| Last Update Date | 2020-08-22 |