Doctor Name: | MS. JULIE PERSOFSKY |
NPI Number: | 1114125424 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.P.C. |
License Number: | PC003889 |
Business Practice Address: | 550 Pinetown Rd Suite 350 Fort Washington, PA - 190342605 |
Business Phone Number: | 2156430200 |
Business Fax Number: | |
Mailing Address: | 1402 Dogwood Cir, BLUE BELL |
State: | PA |
Postal Code: | 194223463 |
Phone Number: | 4842318495 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2007 |
NPI Last Update Date: | 02/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC003889 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |