NPI | 1851684906 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER BADGLEY Owner/Neuropsychologist 610-500-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA PS016840) |
Additional Taxonomies | 103T00000X Psychologist (Licence: PA PS016840) |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: PA PS016840) | |
103TC0700X Psychologist, Clinical (Licence: PA PS016840) | |
103TC2200X Psychologist, Clinical Child & Adolescent (Licence: PA PS016840) | |
103TH0100X Psychologist, Health Service (Licence: PA PS016840) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: PA PS016840) | |
Enumeration Date | 2011-05-24 |
Last Update Date | 2016-03-18 |