Wilson, Ada D

Wilson, Ada D is an sole proprietor health care provider with primary practice located at 2 Bala Plz Suite 300, Bala Cynwyd PA 19004-1501. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Wilson, Ada D can be contacted via phone (610) 660-7779.

Contact Information

Primary practice address
2 Bala Plz Suite 300 Bala Cynwyd PA 19004-1501
Phone: (610) 660-7779
Fax: (610) 667-8174
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1730461153
LBN Legal business name Wilson, Ada D
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 12th, 2011
Last updated Sep 12th, 2011 - about 13 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 1730461153 NPPES
Pennsylvania Other 1025537100001 MA
Pennsylvania MEDICAID 1025537100001 MA

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