Doctor Name: | STEPHANIE WHARTON |
NPI Number: | 1891174918 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH, NCC |
License Number: | |
Business Practice Address: | 222 Green St Parkesburg, PA - 193651173 |
Business Phone Number: | 4846203593 |
Business Fax Number: | |
Mailing Address: | 222 Green St, PARKESBURG |
State: | PA |
Postal Code: | 193651173 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/21/2015 |
NPI Last Update Date: | 07/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |