Provider Demographics
NPI:1629354642
Name:JAPKO, SHEILA
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:JAPKO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:KIRSCHNER
Other - Last Name:JAPKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1435 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3219
Mailing Address - Country:US
Mailing Address - Phone:610-220-6712
Mailing Address - Fax:610-667-5645
Practice Address - Street 1:1435 WALNUT ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19102-3219
Practice Address - Country:US
Practice Address - Phone:610-220-6712
Practice Address - Fax:610-667-5645
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-24
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYCW000360L101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional