Provider Demographics
NPI:1437472180
Name:POURSANIDIS, ARGYRO (MSW, LSW, MFT)
Entity Type:Individual
Prefix:MS
First Name:ARGYRO
Middle Name:
Last Name:POURSANIDIS
Suffix:
Gender:F
Credentials:MSW, LSW, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 BEAUFORT CT
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2820
Mailing Address - Country:US
Mailing Address - Phone:610-415-9730
Mailing Address - Fax:
Practice Address - Street 1:104 BEAUFORT CT
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2820
Practice Address - Country:US
Practice Address - Phone:610-415-9730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW001034E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker