Provider Demographics
NPI:1134550619
Name:PINWHEELS DEVELOPMENTAL AND THERAPEUTIC SERVICES
Entity type:Organization
Organization Name:PINWHEELS DEVELOPMENTAL AND THERAPEUTIC SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:WALSH
Authorized Official - Last Name:SINGLES
Authorized Official - Suffix:
Authorized Official - Credentials:MSS, LCSW
Authorized Official - Phone:484-437-7088
Mailing Address - Street 1:225 BISHOP DR
Mailing Address - Street 2:
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-1324
Mailing Address - Country:US
Mailing Address - Phone:484-437-7088
Mailing Address - Fax:
Practice Address - Street 1:331 W STATE ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2615
Practice Address - Country:US
Practice Address - Phone:484-437-7088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health