Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | WILL OBTAIN IN MAY | PA |
NPI | 1255458329 |
---|---|
Provider Name | Mr. Joel Evan Sperling |
First Address | Newtown, PA 18940-9284 |
Second Address | Hatboro, PA 19040-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2007 |
Last Update Date | 08/07/2007 |