NPI | 1851618284 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT ANDREW GILLESPIE Psychologist 610-996-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MO 2007006356) |
Enumeration Date | 2010-04-25 |
Last Update Date | 2014-08-21 |