Taliaferro, Wanda
Taliaferro, Wanda is an individual health care provider with primary practice located at 913 Collenbrook Ave , Drexel Hill PA 19026-4418. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Taliaferro, Wanda can be contacted via phone (267) 970-1052.Contact Information
Primary practice address
913 Collenbrook Ave
Drexel Hill PA 19026-4418
Phone: (267) 970-1052
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC012497 | Pennsylvania |
Profile Details
| NPI number | 1962164368 |
|---|---|
| LBN Legal business name | Taliaferro, Wanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2021 |
| Last updated | Oct 12th, 2021 - about 4 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 | 1962164368 | NPPES |
| Pennsylvania | MEDICAID | 1699048173 |
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