Andrew Thomas Wolanin in Philadelphia - Exercise & Sports

Andrew Thomas Wolanin - NPI 1851504575

Andrew Thomas Wolanin is a Exercise & Sports in Philadelphia, Pennsylvania. Andrew Thomas Wolanin practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Andrew Thomas Wolanin is 1851504575. The last update date is 2007-07-08.

Andrew Thomas Wolanin's current location address is 4132 Manayunk Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159913518 and fax number 2159511351. The mailing address for Andrew Thomas Wolanin is 4132 Manayunk Ave, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Andrew Thomas Wolanin
Address 4132 Manayunk Ave, Philadelphia, Pennsylvania
Phone Number 2159913518
Fax Number 2159511351
Sole Proprietor Y
Credentials PSY.D

NPI Number Detail

NPI Number 1851504575
Provider Enumeration Date 2007-05-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4132 Manayunk Ave
City Philadelphia
State Pennsylvania (PA)
Post Code 191285028
Phone Number 2159913518
Fax Number 2159511351

Provider's Primary Taxonomy Detail

Speciality Exercise & Sports
Taxonomy 103Te1100X
Licence No PS016068
Definition:
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi

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FAQs about Andrew Thomas Wolanin

What is the unique provider identifier assigned to Andrew Thomas Wolanin?

The Andrew Thomas Wolanin has been issued the NPI (National Provider Identifier) 1851504575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Andrew Thomas Wolanin?

The Andrew Thomas Wolanin is physically situated at 4132 Manayunk Ave, in the city of Philadelphia, state of PA, with the postal code 191285028.

What is the area of specialization for Andrew Thomas Wolanin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Andrew Thomas Wolanin is Exercise & Sports, and the corresponding taxonomy code that categorizes this area of expertise is 103Te1100X.

On what date was the 1851504575 assigned to Andrew Thomas Wolanin?

The Andrew Thomas Wolanin was issued its 1851504575 on 2007-05-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Andrew Thomas Wolanin most recently updated or revised?

The information pertaining to Andrew Thomas Wolanin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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