Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Diversified Psychological Resources, PC

Organization Clinical Neuropsychologist · NPI 1588711006

Diversified Psychological Resources, PC is a Clinical Neuropsychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

230 S Broad St Ste 1005
Philadelphia, PA 19102-4105
Phone: (215) 988-9911
Fax: (215) 988-9912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PS003688-L (PA)
Psychologist Taxonomy 103T00000X · Licence PS003688-L (PA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PS003688-L (PA)

Record details

NPI number1588711006
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Rider — Owner · (215) 988-9911
NPI enumeratedJanuary 5, 2007
Last updated in NPPESSeptember 16, 2022
Certification dateAugust 18, 2022
Mailing address230 S. Broad St., Suite 1005, Philadelphia, PA 19102-4105

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