MIRIAM WONNIE (NPI# 1235536244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235536244 |
| Entity Type | Individual |
| Full Name | MIRIAM WONNIE |
| Credential | M ED.,BSL |
| Practice Address |
One West Main Street Fleetwood PA 19522 |
| Mailing Address |
69 Montello Rd Sinking Spring PA 19608-1515 |
| Practice Telephone | 6109440445 |
| Practice Fax Number | 6109441196 |
| Mailing Telephone | 6109274249 |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
BH001706 | PA | Behavioral Health & Social Service Providers |
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
BH001706 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CONCERN PROFESSIONAL SERVICES FOR CHILDREN , YOUTH, & FAMILIES | 1083756902 | 01 |
| Street Address |
ONE WEST MAIN STREET |
| City | FLEETWOOD |
| State | PA |
| Zip Code | 19522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915803 | Brenna Fehr | Counselor | Concern Counseling, 1 W Main Street, Fleetwood, PA 19522 | 2020-09-08 |
| 1689217192 | Deidre Folk | Social Worker | 22 North Franklin Street, Fleetwood, PA 19522 | 2019-10-28 |
| 1518430529 | Victoria Ladawnna Gunther | Social Worker | 22-24 N. Franklin Street, Fleetwood, PA 19522 | 2019-01-03 |
| 1043742828 | Jill Wynne Sober | Counselor | 22-24 N. Franklin St, Fleetwood, PA 19522 | 2017-03-30 |
| 1750824520 | Clarissa Hummel Clare | Clinic/Center | 22-24 N Franklin St, Fleetwood, PA 19522 | 2016-11-29 |
| 1013308345 | Pierre Vernon Cooper | Social Worker | 22-24 N. Franklin Sttreet, Fleetwood, PA 19522 | 2015-02-09 |
| 1497004972 | Lori Lee Christman | Occupational Therapist | 436 Hartz Road, Fleetwood, PA 19522 | 2012-08-30 |
| 1952661159 | Jane Csir Hoopes | Social Worker | 22-24 N. Franklin St., Fleetwood, PA 19522 | 2012-05-22 |
| 1821388042 | Jennifer Derecola | Massage Therapist | 14128 Kutztown Rd., Fleetwood, PA 19522 | 2011-04-08 |
| 1104091388 | Fleetwood Dental Professional Corporation | Dentist | 805 N Richmond Street, Suite 102, Fleetwood, PA 19522 | 2008-04-28 |
| Find all providers in zip 19522 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380281 | Shyniece Mcdonald | Psychologist | 3501 Bristol Oxford Valley Rd Apt 708, Levittown, PA 19057-2911 | 2020-03-11 |
| 1144700238 | Quality Smart Residential Services | Psychologist | 179 Blackburn Ave, Lansdowne, PA 19050-1418 | 2018-08-17 |
| 1063908499 | Psychological Services of York, LLC | Psychologist | 50 E Market St, Hallam, PA 17406-1100 | 2018-07-09 |
| 1386005171 | Mandy Sue Kolb Lyons | Psychologist | 405 Silver Maple Ct, Mount Wolf, PA 17347-9803 | 2016-03-08 |
| 1669839346 | Ann Tosline-koch | Psychologist | 224 Milmont Ave, Folsom, PA 19033-3313 | 2016-01-26 |
| 1720469505 | Monique Scott I | Psychologist | 250 Beverly Blvd Apt B201, Upper Darby, PA 19082 | 2015-06-17 |
| 1477945509 | Settime Inc. | Psychologist | 228 Blunstone Ave, Darby, PA 19023-3807 | 2015-02-26 |
| 1053715391 | Ojoma Edeh Herr | Psychologist | 118 W Willow Rd, Willow Street, PA 17584-9322 | 2014-10-15 |
| 1073915278 | William Foreman | Psychologist | 2242 W. Estaught St., Phila, PA 19140 | 2014-09-18 |
| 1659781318 | Veronica Pollard | Psychologist | 2112 N Front St, Phila, PA 19122-1705 | 2014-05-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.