| NPI | 1912482985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANN NELSEN LUNEBURG Clinical Psychologist 610-960-5340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |