1346575487 NPI number — MS. ARLENE P JONES TIPPETT MSW

Table of content: MS. ARLENE P JONES TIPPETT MSW (NPI 1346575487)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346575487 NPI number — MS. ARLENE P JONES TIPPETT MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES TIPPETT
Provider First Name:
ARLENE
Provider Middle Name:
P
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
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:
1346575487
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 406
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAFAYETTE HILL
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19444-0406
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-844-4782
Provider Business Mailing Address Fax Number:
610-941-5624

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 PRESIDENTIAL BLVD
Provider Second Line Business Practice Location Address:
SUITE 237
Provider Business Practice Location Address City Name:
BALA CYNWYD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19004-1008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-844-4782
Provider Business Practice Location Address Fax Number:
610-941-5624
Provider Enumeration Date:
10/07/2009

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: 1041C0700X , with the licence number:  CW013170 , 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)





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