Provider Demographics
NPI:1346421096
Name:DENNER, ANNE LOUISE (MSS)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:LOUISE
Last Name:DENNER
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 WASHINGTON SQ S
Mailing Address - Street 2:LOBBY LEVEL
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4118
Mailing Address - Country:US
Mailing Address - Phone:215-609-7350
Mailing Address - Fax:215-925-8005
Practice Address - Street 1:604 WASHINGTON SQ S
Practice Address - Street 2:LOBBY LEVEL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-4118
Practice Address - Country:US
Practice Address - Phone:215-609-7350
Practice Address - Fax:215-925-8005
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-23
Last Update Date:2007-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW008319L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical