| NPI | 1891856407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT CARROLL President 610-328-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA ps-004152L) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |