Doctor Name: | MS. AVA WEINSTEIN ATZRAM |
NPI Number: | 1033440839 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW016237 |
Business Practice Address: | 1234 Bridgetown Pike Feasterville Trevose, PA - 190532208 |
Business Phone Number: | 2672408415 |
Business Fax Number: | |
Mailing Address: | 1637 Borbeck Ave, 2nd Floor PHILADELPHIA |
State: | PA |
Postal Code: | 191113512 |
Phone Number: | 2157455286 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2010 |
NPI Last Update Date: | 01/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW016237 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |