| NPI | 1871068213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE PRESENT KOLLER Licensed Clinical Psychologist 610-816-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |