| NPI | 1912319328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL SCOTT LEVIN Psychologist 215-995-0140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS016830) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-07-14 |