Healthcare Provider Details

I. General information

NPI: 1700701778
Provider Name (Legal Business Name): MR. PHILIP SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9245 EAGLEVIEW DR
LAFAYETTE HILL PA
19444-1739
US

IV. Provider business mailing address

9245 EAGLEVIEW DR
LAFAYETTE HILL PA
19444-1739
US

V. Phone/Fax

Practice location:
  • Phone: 257-971-6354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002590
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: