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MEDIA CHILD AND FAMILY ASSOCIATES LLC NPI 1316312259


NPI Information

NPI: 1316312259
Provider Name: MEDIA CHILD AND FAMILY ASSOCIATES LLC
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
42 E FRONT ST
MEDIA, PA
ZIP 19063
Phone: (610) 348-6439
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MEDIA CHILD AND FAMILY ASSOCIATES LLC is a marriage family therapist in Media, PA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. MEDIA CHILD AND FAMILY ASSOCIATES LLC NPI is 1316312259. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

42 E FRONT ST
MEDIA, PA
ZIP 19063-912
Phone: (610) 348-6439
Fax: (610) 892-2774

The provider's authorized official is Justin Corrocher .
The authorized official title is Owner and has the following contact phone number (610) 348-6439.

The enumeration date for this NPI number is 12/3/2015 and was last updated on 12/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalPC004837PENNSYLVANIANo
2106H00000XMarriage & Family TherapistMF000595PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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