Doctor Name: | ANJANA DESHPANDE |
NPI Number: | 1174842199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CW018623 |
Business Practice Address: | 1811 Bethlehem Pike #212-213 Flourtown, PA - 190311111 |
Business Phone Number: | 6105062861 |
Business Fax Number: | |
Mailing Address: | 1811 Bethlehem Pike, #212-213 FLOURTOWN |
State: | PA |
Postal Code: | 190311111 |
Phone Number: | 6105062861 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2010 |
NPI Last Update Date: | 01/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW018623 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |