Provider Demographics
NPI:1740665264
Name:JARWOOD, SR., WILLIAM (MA)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:
Last Name:JARWOOD, SR.
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 ASHTON RD
Mailing Address - Street 2:
Mailing Address - City:UPPER DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19082-4801
Mailing Address - Country:US
Mailing Address - Phone:610-931-9493
Mailing Address - Fax:
Practice Address - Street 1:119 ASHTON RD
Practice Address - Street 2:
Practice Address - City:UPPER DARBY
Practice Address - State:PA
Practice Address - Zip Code:19082-4801
Practice Address - Country:US
Practice Address - Phone:610-931-9493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health