Wonnie, Miriam

Wonnie, Miriam is an individual health care provider with primary practice located at One West Main Street , Fleetwood PA 19522. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities. Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities is her primary health care specialty. Wonnie, Miriam can be contacted via phone (610) 944-0445.

Contact Information

Primary practice address
One West Main Street Fleetwood PA 19522
Phone: (610) 944-0445
Fax: (610) 944-1196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X BH001706 Pennsylvania
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X BH001706 Pennsylvania

Profile Details

NPI number 1235536244
LBN Legal business name Wonnie, Miriam
Credentials M ED.,BSL
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2014
Last updated Nov 20th, 2014 - about 11 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 1235536244 NPPES
Pennsylvania Other 1083756902 CONCERN PROFESSIONAL SERVICES FOR CHILDREN , YOUTH, & FAMILIES

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