Organization Name: | ALBERT MEDICAL CENTER CORPORATION |
NPI Number: | 1922188788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEE G PAE (OFFICE MANAGER) |
Mailing Address: | 1400 Willow Ave Ste B1 Elkins Park |
State: | PA US |
Postal Code: | 190273100 |
Phone Number: | 2156351160 |
Fax Number: | 2156351733 |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |