Organization Name: | FAMILY GUIDANCE ASSOCIATES, INC. |
NPI Number: | 1114062338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LEANNE POFFENBERGER (OFFICER) |
Mailing Address: | 301 Oxford Valley Rd Suite 102b Yardley |
State: | PA US |
Postal Code: | 190677706 |
Phone Number: | 2154936610 |
Fax Number: | 2154933969 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS-007072-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |