Provider Demographics
NPI:1073220984
Name:DISCOVER PSYCHOLOGICAL WELLNESS, PLLC
Entity Type:Organization
Organization Name:DISCOVER PSYCHOLOGICAL WELLNESS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:484-587-3166
Mailing Address - Street 1:1442 POTTSTOWN PIKE # 345
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1271
Mailing Address - Country:US
Mailing Address - Phone:484-402-4153
Mailing Address - Fax:
Practice Address - Street 1:1442 POTTSTOWN PIKE # 345
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-1271
Practice Address - Country:US
Practice Address - Phone:484-402-4153
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty