| Organization Name: | FAIRLESS HILLS PSYCHOLOGICAL ASSOCIATES |
| NPI Number: | 1073684254 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN DANIEL ROSELLA (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 333 N Oxford Valley Rd Suite 202 Fairless Hills |
| State: | PA US |
| Postal Code: | 190302624 |
| Phone Number: | 2155475774 |
| Fax Number: | 2155470768 |
| NPI Enumeration Date: | 11/10/2006 |
| NPI Last Update Date: | 04/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TP2701X |
| License Number: | 000256L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Group Psychotherapy |
| Taxonomy Definition: | |