Doctor Name: | MS. CAROLYN WOLFE |
NPI Number: | 1104281971 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., LPC, NCC |
License Number: | PC007921 |
Business Practice Address: | 411 Earlington Rd Havertown, PA - 190835623 |
Business Phone Number: | 6102832177 |
Business Fax Number: | |
Mailing Address: | 411 Earlington Rd, HAVERTOWN |
State: | PA |
Postal Code: | 190835623 |
Phone Number: | 6102832177 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2015 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320600000X |
License Number: | PC007921 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |