Doctor Name: | DR. DEEPA PARTHASARATHY |
NPI Number: | 1801025796 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D |
License Number: | PC004673 |
Business Practice Address: | 1 Mennonite Church Rd Spring City, PA - 194751518 |
Business Phone Number: | 6109486490 |
Business Fax Number: | 6104740011 |
Mailing Address: | 1 Minnonite Church Road, Spring City, Pa 19475, SPRING CITY |
State: | PA |
Postal Code: | 19475 |
Phone Number: | 6109486490 |
Fax Number: | 6104740011 |
NPI Enumeration Date: | 07/13/2009 |
NPI Last Update Date: | 07/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC004673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |