Provider Demographics
NPI:1932468618
Name:REX, JOHN B (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:REX
Suffix:
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P. O. BOX 161
Mailing Address - Street 2:17 BUFFINGTON ST.
Mailing Address - City:UNIONVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19375
Mailing Address - Country:US
Mailing Address - Phone:617-851-0487
Mailing Address - Fax:
Practice Address - Street 1:403 W LINCOLN HWY
Practice Address - Street 2:SUITE 206
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2559
Practice Address - Country:US
Practice Address - Phone:610-363-2088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical