Healthcare Provider Details

I. General information

NPI: 1407118656
Provider Name (Legal Business Name): JOSEPH PAUL CIPKO MA, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2012
Last Update Date: 06/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 DEKALB ST
NORRISTOWN PA
19401-3415
US

IV. Provider business mailing address

1100 POWELL ST
NORRISTOWN PA
19401-3820
US

V. Phone/Fax

Practice location:
  • Phone: 610-279-9270
  • Fax: 610-279-4146
Mailing address:
  • Phone: 610-277-4600
  • Fax: 610-275-0216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberPC006341
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: