Doctor Name: | MS. JOAN F WOLPERT |
NPI Number: | 1073823373 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, BC-DMT, LPC |
License Number: | PC005177 |
Business Practice Address: | 1060 First Ave Suite 430 King Of Prussia, PA - 194061336 |
Business Phone Number: | 6109920555 |
Business Fax Number: | 6109921010 |
Mailing Address: | 1508 Sheffield Ln, WYNNEWOOD |
State: | PA |
Postal Code: | 190963727 |
Phone Number: | 6106081470 |
Fax Number: | |
NPI Enumeration Date: | 10/20/2010 |
NPI Last Update Date: | 12/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC005177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |