NPI | 1881336733 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE MATTHEWS Licensed Psychologist/Owner 610-482-4496 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TB0200X Psychologist, Cognitive & Behavioral | |
Enumeration Date | 2022-04-11 |
Last Update Date | 2022-04-11 |