| NPI | 1952623415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BETH VAIL Psychologist 215-760-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015618) |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |