Provider Demographics
NPI:1093921173
Name:WOOL, PETER C (MDIV)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:C
Last Name:WOOL
Suffix:
Gender:M
Credentials:MDIV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1922 RODMAN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1417
Mailing Address - Country:US
Mailing Address - Phone:215-546-3542
Mailing Address - Fax:215-546-4759
Practice Address - Street 1:2201 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 101 - PARKWAY HOUSE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3513
Practice Address - Country:US
Practice Address - Phone:215-751-9087
Practice Address - Fax:215-546-4759
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist