Tim Barksdale, MA
Individual provider Active NPI Counselor · Drexel Hill, PA
NPI 1982801437 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1982801437
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 606 Mason Ave
Drexel Hill, PA 19026-2430 - Phone
- (215) 868-6766
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- 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
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
606 Mason Ave
Drexel Hill, PA 19026-2430
Mailing address
606 Mason Ave
Drexel Hill, PA 19026-2430
Phone (215) 868-6766
Other providers in Drexel Hill, PA
- Olayinka Balogun
- Jason Philip Bansch
- Annmarie Barber
- Sonia Stella Barbosa-Ruiz
- Chioma I Barco- Ekeke
- Asekia Barmont
- Drew Joseph Barnabei
- Barry I. Cohen, D.M.D.
- Nancy Barton
- Carol Basilio
All providers in Drexel Hill, 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 Jul 8, 2007. 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.