Doctor Name: | MS. SHOBHANA LAVEEN KANAL |
NPI Number: | 1386794832 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSS, LCSW |
License Number: | CW017034 |
Business Practice Address: | 355 Lancaster Ave Bldg. C, 2nd Floor Haverford, PA - 190411547 |
Business Phone Number: | 4847168625 |
Business Fax Number: | |
Mailing Address: | 364 Trevor Ln, BALA CYNWYD |
State: | PA |
Postal Code: | 190042329 |
Phone Number: | 4847168625 |
Fax Number: | |
NPI Enumeration Date: | 01/10/2007 |
NPI Last Update Date: | 09/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CW017034 |
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 |