Provider Demographics
NPI:1841702446
Name:LUFF, WILLIAM C (MS, EDD ('18))
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:LUFF
Suffix:
Gender:M
Credentials:MS, EDD ('18)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 N 26TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-1821
Mailing Address - Country:US
Mailing Address - Phone:267-838-7656
Mailing Address - Fax:
Practice Address - Street 1:878 N 26TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-1821
Practice Address - Country:US
Practice Address - Phone:267-838-7656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-04
Last Update Date:2017-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral