Doctor Name: | MR. UDO R UMOH |
NPI Number: | 1356578884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 117 Barrington Rd Upper Darby, PA - 190823213 |
Business Phone Number: | 2156813399 |
Business Fax Number: | |
Mailing Address: | 117 Barrington Rd, UPPER DARBY |
State: | PA |
Postal Code: | 190823213 |
Phone Number: | 2156813399 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2009 |
NPI Last Update Date: | 06/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |