| NPI | 1942671441 |
|---|---|
| Former Legal Business Name | MK PLUS |
| Entity Type | Organization |
| Authorized Contact | JOSHUA DOWD Practice Administrator 215-968-5800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 174N00000X Lactation Consultant, Non-RN | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2016-07-25 |