Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | PS005475L | PA |
NPI | 1043386691 |
---|---|
Provider Name | Rhona B Case |
First Address | Feasterville Trevose, PA 19053-2208 |
Second Address | Feasterville Trevose, PA 19053-2208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 08/07/2007 |