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NPI Code Detail

MEDICARE: FELICITY FONG

MEDICARE:   FELICITY  FONG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1174125017
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICITY FONG
Provider Business Mailing Address
First Line : 1200 OLD YORK RD STE 101
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-2034
Country : US
Telephone Number : 215-394-8625
Fax Number :
Provider Business Practice Location Address
First Line : 1200 OLD YORK RD STE 101
Second Line :
City : WARMINSTER
State : PA
Zip : 18974-2034
Country : US
Telephone Number : 215-394-8625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2020
Last Update Date : 04/03/2025

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Directions to “ FELICITY FONG ” Practice Location

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