| NPI | 1801278791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. GLANVILLE Therapist 484-459-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017408) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: PA PS017408) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS017408) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS017408) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS017408) | |
| 103TF0000X Psychologist, Family (Licence: PA PS017408) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS017408) | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |