1215195821 NPI number — DR. JENNIFER W WEEKS PH.D., LPC, CACD

Table of content: DR. JENNIFER W WEEKS PH.D., LPC, CACD (NPI 1215195821)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215195821 NPI number — DR. JENNIFER W WEEKS PH.D., LPC, CACD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WEEKS
Provider First Name:
JENNIFER
Provider Middle Name:
W
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PH.D., LPC, CACD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215195821
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 BARR HARBOR DR
Provider Second Line Business Mailing Address:
FOUR TOWER BRIDGE SUITE 400
Provider Business Mailing Address City Name:
WEST CONSHOHOCKEN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19428-2977
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-892-5877
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 BARR HARBOR DR
Provider Second Line Business Practice Location Address:
FOUR TOWER BRIDGE SUITE 400
Provider Business Practice Location Address City Name:
WEST CONSHOHOCKEN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19428-2977
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-892-5877
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/30/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  6854 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: PC005131 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)