Organization
PSYCHOLOGICAL SERVICES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E BECKER PH.D. (PRESIDENT)
(215) 628-8072
Entity
Organization
Contact information
Practice address
512 MELISSA DR, AMBLER, PA 19002-5046
(215) 628-8072
(215) 628-8072
Mailing address
512 MELISSA DR, AMBLER, PA 19002-5046
(215) 628-8072
(215) 628-8072
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-004565-L
PA
Other
Enumeration date
03/26/2007
Last updated
07/08/2010
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