Birmingham, Eileen Marie

Birmingham, Eileen Marie is an individual health care provider with primary practice located at 12311 Perry Hwy , Wexford PA 15090-8344. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Birmingham, Eileen Marie can be contacted via phone (878) 332-4240.

Contact Information

Primary practice address
12311 Perry Hwy Wexford PA 15090-8344
Phone: (878) 332-4240
Fax: (878) 332-4481
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013177 Pennsylvania

Profile Details

NPI number 1023206240
LBN Legal business name Birmingham, Eileen Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2007
Last updated Jan 16th, 2017 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1023206240 NPPES
Pennsylvania MEDICAID 103081177

Popular Providers