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NPI Code Detail

MEDICARE: SARAH TOLVAISA LPC

MEDICARE:   SARAH  TOLVAISA  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC009404PA

General Provider Information

NPI Number : 1053830471
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH TOLVAISA LPC
Provider Business Mailing Address
First Line : 116 VALLEY GREEN DR
Second Line :
City : ASTON
State : PA
Zip : 19014-1926
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1819 JFK BLVD STE 302
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19103-1729
Country : US
Telephone Number : 610-265-3400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2017
Last Update Date : 09/18/2017

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Directions to “ SARAH TOLVAISA LPC” Practice Location

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