Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CW018152 | PA |
NPI | 1003221615 |
---|---|
Provider Name | Ms. Judith Fuhrman |
First Address | Jenkintown, PA 19046-3238 |
Second Address | Jenkintown, PA 19046-3238 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2014 |
Last Update Date | 23/06/2014 |