Organization
THE NETWORK FOR BEHAVIOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN ALBERT KOSSOR MA (DIRECTOR)
(610) 383-9494
Entity
Organization
Contact information
Practice address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(610) 383-9494
(610) 383-9494
Mailing address
848 W KINGS HWY, COATESVILLE, PA 19320-1714
(610) 383-9494
(610) 383-9494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
PA
101YP2500X
Professional Counselor
—
PA
101YS0200X
School Counselor
—
PA
103T00000X
Psychologist
—
PA
103TB0200X
Cognitive & Behavioral Psychologist
—
PA
103TC0700X
Clinical Psychologist
—
PA
103TC1900X
Counseling Psychologist
—
PA
103TC2200X
Clinical Child & Adolescent Psychologist
—
PA
103TF0000X
Family Psychologist
—
PA
103TH0100X
Health Service Psychologist
—
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
PA
103TS0200X
School Psychologist
—
PA
1041C0700X
Clinical Social Worker
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017107700001
—
PA
Enumeration date
06/23/2005
Last updated
01/23/2012
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