| NPI | 1952706384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY GOLD Member 215-479-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS005263L) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |