Healthcare Provider Details

I. General information

NPI: 1427429299
Provider Name (Legal Business Name): THE POSTPARTUM STRESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2015
Last Update Date: 10/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1062 LANCASTER AVE. SUITE 2
ROSEMONT PA
19010-1552
US

IV. Provider business mailing address

1062 LANCASTER AVE. SUITE 2
ROSEMONT PA
19010-1552
US

V. Phone/Fax

Practice location:
  • Phone: 610-525-7527
  • Fax: 610-525-3997
Mailing address:
  • Phone: 610-525-7527
  • Fax: 610-525-3997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCWO12985
License Number StatePA

VIII. Authorized Official

Name: KAREN KLEIMAN
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 610-525-7527