Provider Demographics
NPI:1639292022
Name:WHITWORTH, JOANNE YORK (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:YORK
Last Name:WHITWORTH
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4365 ANGUS CIR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1769
Mailing Address - Country:US
Mailing Address - Phone:215-219-8992
Mailing Address - Fax:
Practice Address - Street 1:62 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4397
Practice Address - Country:US
Practice Address - Phone:215-219-8992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional