Organization Name: | CHESTER COUNTY WELL-BEING, LLC |
NPI Number: | 1114315173 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MALYNN KUANGPARICHAT (PSYCHOLOGIST) |
Mailing Address: | 500 Orchard Ave Suite C101 Kennett Square |
State: | PA US |
Postal Code: | 193481812 |
Phone Number: | 3025301419 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2014 |
NPI Last Update Date: | 12/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC1900X |
License Number: | PS017132 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Counseling |
Taxonomy Definition: |