Organization Name: | IRON PSYCH WORKS, INC. |
NPI Number: | 1720164429 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER J BENDIG (SPORT, EXERCISE & HEALTH CONSULTAT) |
Mailing Address: | 953 Dale Rd Secane |
State: | PA US |
Postal Code: | 190183414 |
Phone Number: | 4844727530 |
Fax Number: | |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 09/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TE1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Exercise & Sports |
Taxonomy Definition: |