Healthcare Provider Details
I. General information
NPI: 1659511723
Provider Name (Legal Business Name): JULIE ANN ROFFINA NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/02/2009
Last Update Date: 07/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
760 NEWTOWN YARDLEY ROAD SUITE 124
NEWTOWN PA
18940
US
IV. Provider business mailing address
760 NEWTOWN YARDLEY ROAD SUITE 124
NEWTOWN PA
18940
US
V. Phone/Fax
- Phone: 267-294-7609
- Fax:
- Phone: 267-294-7609
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: