Organization
DO WHAT YOU'RE BUILT FOR FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL LEE PSYD (CEO)
(215) 991-9066
Entity
Organization
Contact information
Practice address
6327 BURBRIDGE ST, PHILADELPHIA, PA 19144-2505
(215) 991-9066
(215) 991-9062
Mailing address
6327 BURBRIDGE ST, PHILADELPHIA, PA 19144-2505
(215) 991-9066
(215) 991-9062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
PS016044
PA
103TP2701X
Group Psychotherapy Psychologist
—
—
104100000X
Social Worker
SW130970
PA
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
SW130970
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS016044
LICENSE
PA
Enumeration date
03/15/2016
Last updated
03/22/2016
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