Duberstein, Sue
Duberstein, Sue is an individual health care provider with primary practice located at 3801 Conshohocken Ave Suite 123, Phila PA 19131. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Duberstein, Sue can be contacted via phone (215) 878-2336.Contact Information
Primary practice address
3801 Conshohocken Ave Suite 123
Phila PA 19131
Phone: (215) 878-2336
Fax: (215) 878-2379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW016002 | Pennsylvania |
Profile Details
| NPI number | 1083801716 |
|---|---|
| LBN Legal business name | Duberstein, Sue |
| Credentials | LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2007 |
| Last updated | Aug 26th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083801716 | NPPES |
| Other | 1000008810025 | PA WELFARE | |
| MEDICAID | 1000008810009 | PA WELFARE |
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