Vincent Andrew Grim, LPC
Counselor, Professional in Havertown, PA. Individual provider (NPI-1).
NPI number1053977751
StatusActive
Last updated in NPPESMay 17, 2019
Details
- NPI
- 1053977751
- Entity type
- Individual (NPI-1)
- Name
- Vincent Andrew Grim
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2019
- Last updated
- May 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC011228 | PA | Yes |
Practice location
2000 Old West Chester PikeHavertown, PA 19083-2712
Phone 484-454-8700 · Fax 484-454-8813
Mailing address
234 Corwen TerWest Chester, PA 19380-1150
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