John William Ditter IV, L.P.C.
Individual provider Active NPI Professional Counselor · Havertown, PA
NPI 1154873495 · NPPES record last updated Nov 3, 2016
Key facts
- NPI
- 1154873495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- PC009181 (PA)
- Practice address
- 2000 Old West Chester Pike
Havertown, PA 19083-2712 - Phone
- (484) 454-8700
- NPI assigned
- Nov 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC009181 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC009181 | PA | Yes |
Addresses
Primary practice location
2000 Old West Chester Pike
Havertown, PA 19083-2712
Mailing address
2000 Old West Chester Pike
Havertown, PA 19083-2712
Phone (484) 454-8700
Other providers in Havertown, PA
- Renee L Diguiseppe
- Lynette Diluzio
- Nicholas A Dinubile
- Katherine Dipaulo
- Maryanne Diperri
- Divine Providence Village
- Divine Providence Village
- Divine Serenity Home Health LLC
- Edward Dixon III
- Lisa Djergian
All providers in Havertown, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.