Provider Demographics
NPI:1164406468
Name:FAUCETT, WILLIAM ANDREW (MS)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:ANDREW
Last Name:FAUCETT
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MS 26 20
Mailing Address - Street 2:100 N. ACADEMY AVENUE
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-0001
Mailing Address - Country:US
Mailing Address - Phone:570-214-4862
Mailing Address - Fax:570-271-6701
Practice Address - Street 1:MS 26 20
Practice Address - Street 2:100 N. ACADEMY AVENUE
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-0001
Practice Address - Country:US
Practice Address - Phone:570-214-4862
Practice Address - Fax:570-271-6701
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS