| NPI | 1861637381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANG SHAN Director 215-533-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: PA MD421627) |
| Enumeration Date | 2008-12-12 |
| Last Update Date | 2008-12-12 |