Heather Lynn Wardlaw, LPC
Counselor, Professional in Jenkintown, PA. Individual provider (NPI-1).
NPI number1265106926
StatusActive
Last updated in NPPESMar 3, 2023
Details
- NPI
- 1265106926
- Entity type
- Individual (NPI-1)
- Name
- Heather Lynn Wardlaw
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 5, 2021
- Certification date
- Mar 3, 2023
- Last updated
- Mar 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | PC012213 | PA | Yes |
Practice location
201 York Rd Ste 1-564Jenkintown, PA 19046-3200
Phone 267-419-7846 · Fax 215-372-0124
Mailing address
7914 Waltham RdCheltenham, PA 19012-1713
Phone 267-419-7846
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