Healthcare Provider Details

I. General information

NPI: 1124378237
Provider Name (Legal Business Name): SNEHAL UKEY MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2012
Last Update Date: 11/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 WELLINGTON RD APT 1
UPPER DARBY PA
19082-2443
US

IV. Provider business mailing address

9 WELLINGTON RD APT 1
UPPER DARBY PA
19082-2443
US

V. Phone/Fax

Practice location:
  • Phone: 215-512-1027
  • Fax:
Mailing address:
  • Phone: 215-512-1027
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: