Provider Demographics
NPI:1598971384
Name:DELPINO, JAMES P (MSS,MLSP,LCSW,BCD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:P
Last Name:DELPINO
Suffix:
Gender:M
Credentials:MSS,MLSP,LCSW,BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 STREET RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:PA
Mailing Address - Zip Code:18966-3786
Mailing Address - Country:US
Mailing Address - Phone:215-364-0139
Mailing Address - Fax:215-322-1019
Practice Address - Street 1:543 STREET RD
Practice Address - Street 2:
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966-3786
Practice Address - Country:US
Practice Address - Phone:215-364-0139
Practice Address - Fax:215-322-1019
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW012742106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist