Danielle Havelin Llc | |
8600 W Chester Pike Ste 108 Upper Darby PA 19082-2629 | |
(484) 278-1604 | |
Not Available |
Full Name | Danielle Havelin Llc |
---|---|
Speciality | Social Worker |
Location | 8600 W Chester Pike Ste 108, Upper Darby, Pennsylvania |
Authorized Official Name and Position | Danielle Havelin (OWNER/PSYCHOTHERAPIST) |
Authorized Official Contact | 4842781604 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Danielle Havelin Llc 8600 W Chester Pike Ste 108 Upper Darby PA 19082-2629 Ph: (484) 278-1604 | Danielle Havelin Llc 8600 W Chester Pike Ste 108 Upper Darby PA 19082-2629 Ph: (484) 278-1604 |
NPI Number | 1295298750 |
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Provider Enumeration Date | 04/11/2019 |
Last Update Date | 04/11/2019 |
Medicare PECOS PAC ID | 6204169642 |
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Medicare Enrollment ID | O20190620000174 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295298750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Danielle Havelin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427525054 PECOS PAC ID: 6901139344 Enrollment ID: I20190618000049 |
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