Doctor Name: | STEPHEN COMPOS |
NPI Number: | 1013234053 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PC005431 |
Business Practice Address: | 835 Springdale Dr Suite 100 Exton, PA - 193412841 |
Business Phone Number: | 6103631488 |
Business Fax Number: | |
Mailing Address: | 835 Springdale Dr, Suite 100 EXTON |
State: | PA |
Postal Code: | 193412841 |
Phone Number: | 6103631488 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2010 |
NPI Last Update Date: | 04/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005431 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |