Doctor Name: | MR. EDWARD DARRAH |
NPI Number: | 1063816908 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | PC007825 |
Business Practice Address: | 800 Clarmont Ave Suite B Bensalem, PA - 190205705 |
Business Phone Number: | 2675257001 |
Business Fax Number: | |
Mailing Address: | 176 Lodi Ave., METUCHEN |
State: | NJ |
Postal Code: | 19146 |
Phone Number: | 7328743164 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC007825 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |