Potter, Thomas

Potter, Thomas is an individual health care provider with primary practice located at 1041 W Bridge St Suites 1 & 2, Phoenixville PA 19460-4342. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Potter, Thomas can be contacted via phone (610) 933-8110.

Contact Information

Primary practice address
1041 W Bridge St Suites 1 & 2 Phoenixville PA 19460-4342
Phone: (610) 933-8110
Fax: (610) 933-7451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CW014777 Pennsylvania

Profile Details

NPI number 1578646659
LBN Legal business name Potter, Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578646659 NPPES
Pennsylvania Other CW014777 LCSW

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