MEDICARE: MRS. DANA LEAH RUMMERY LPC, ATR-BC

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
1	221700000X	Art Therapist	10-063	PA
2	101YP2500X	Professional Counselor	PC007049	PA

General Provider Information

NPI Number	:	1154195998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA LEAH RUMMERY LPC, ATR-BC

Provider Business Mailing Address
First Line	:	30 S 15TH ST STE 1550 #533008
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102
Country	:	US
Telephone Number	:	214-709-7174
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 S 15TH ST STE 533008
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-4826
Country	:	US
Telephone Number	:	215-709-7174
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2023
Last Update Date	:	01/22/2024

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