1033495387 NPI number — CENTER FOR CREATIVE ARTS AND PLAY THERAPY

Table of content: (NPI 1033495387)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033495387 NPI number — CENTER FOR CREATIVE ARTS AND PLAY THERAPY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTER FOR CREATIVE ARTS AND PLAY THERAPY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1033495387
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/23/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2001 E MARKET ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17402-2841
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-741-0000
Provider Business Mailing Address Fax Number:
717-668-8353

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1508 E MARKET ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-1255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-741-0000
Provider Business Practice Location Address Fax Number:
717-659-5094
Provider Enumeration Date:
11/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
CRAFT
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
Authorized Official Title or Position:
LCSW
Authorized Official Telephone Number:
717-741-0000

Provider Taxonomy Codes

  • Taxonomy code: 305R00000X , with the licence number:  CW015262 , 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)





Copyright © 2007-2025 www.npivalidator.com