PATRICIA OBILO-AZANDEGBE (NPI# 1306354774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306354774 |
| Entity Type | Individual |
| Full Name | PATRICIA OBILO-AZANDEGBE |
| Credential | LPC |
| Practice Address |
30 S Valley Rd Ste 101 Paoli PA 19301 |
| Mailing Address |
600 Haverford Rd Ste 201 Haverford PA 19041-1139 |
| Practice Telephone | 6106642524 |
| Mailing Telephone | 6106642524 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC009604 | PA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 W Sixth St, Media, PA 190632428 | 6102689145 | |
| 1080 N Delaware Ave Fl 6, Philadelphia, PA 191254330 | 2154960707 |
| Street Address |
30 S VALLEY RD STE 101 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598326787 | Kimberly H Joffe | Registered Nurse | 30 S Valley Rd Ste 101, Paoli, PA 19301-1450 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| 1780955518 | Gulia Muca Omene | Dentist | 22 Paoli Pike, Paoli, PA 19301 | 2012-01-25 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669963708 | Crystal Leigh Davis | Counselor | 43 Leopard Rd Ste 203, Paoli, PA 19301-1552 | 2018-05-24 |
| 1407093115 | Lisa Marie Alessandroni | Counselor | 219 W Lancaster Ave, Paoli, PA 19301-1791 | 2009-01-16 |
| 1881886125 | Janiece Lea Goldsmith | Counselor | 204 Mark, Paoli, OK 73074 | 2007-08-10 |
| 1366633281 | Hattie Carroll-ratliff | Counselor | 30 S Valley Rd Ste 207, Paoli, PA 19301 | 2007-08-06 |
| 1144421090 | Taunya Marie Tinsley | Counselor | 63 Chestnut Rd Ste 10, Paoli, PA 19301-1535 | 2007-05-29 |
| 1730291865 | Timothy P Boyle | Counselor | 1410 Russell Rd Ste 205, Paoli, PA 19301-1200 | 2006-08-31 |
| 1992366611 | Melissa Ann Nedza | Counselor | 43 Leopard Rd Ste 203, Paoli, PA 19301-1552 | 2019-06-24 |
| 1750870911 | S. Wyn Brown, LLC | Counselor | 45 Darby Rd Ste F, Paoli, PA 19301-1475 | 2018-05-03 |
| 1588102644 | Lauren Mosback | Counselor | 1440 Russell Rd, Paoli, PA 19301-1236 | 2017-02-08 |
| 1245697945 | Carolyn Flood and Assoc LLC | Counselor | 30 S Valley Rd, Paoli, PA 19301-1450 | 2016-01-26 |
| Find all providers in PAOLI | ||||
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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.