Fried-Cassorla, Martha Jane
Fried-Cassorla, Martha Jane is an sole proprietor health care provider with primary practice located at 261 Old York Rd Suite 405, Jenkintown PA 19046-3706. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fried-Cassorla, Martha Jane can be contacted via phone (215) 576-8430.Contact Information
Primary practice address
261 Old York Rd Suite 405
Jenkintown PA 19046-3706
Phone: (215) 576-8430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS-003724-L | Pennsylvania |
Profile Details
| NPI number | 1144288671 |
|---|---|
| LBN Legal business name | Fried-Cassorla, Martha Jane |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144288671 | NPPES |
| Pw | Other | 179139 | BLUE SHIELD |
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