Chinyere Chukwu
Individual provider Active NPI Counselor · Upper Darby, PA
NPI 1205285673 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1205285673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- BH002828 (PA)
- Practice address
- 7281 Bradford Rd
Upper Darby, PA 19082-3901 - Phone
- (610) 931-3528
- NPI assigned
- Jun 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| BH002828 | PA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | BH002828 | PA | Yes |
Addresses
Primary practice location
7281 Bradford Rd
Upper Darby, PA 19082-3901
Mailing address
7281 Bradford Rd
Upper Darby, PA 19082-3901
Phone (610) 931-3528
Other providers in Upper Darby, PA
- Yang Chen
- Andrew Cheng
- Chespenn Health Services
- John Stanley Raj Chinnaiyan Mathias
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- Rachael Alison Cirone
- Cisco Homecare Agency
- Citywide Chiropractic LLC
- Christopher Clark
- Gerard Clark
All providers in Upper Darby, PA · 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 Jun 7, 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.