Individual
IAN DISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1041 W BRIDGE ST, PHOENIXVILLE, PA 19460-4342
(610) 933-8110
(610) 933-7451
Mailing address
1041 W BRIDGE ST, PHOENIXVILLE, PA 19460-4342
(610) 933-8110
(610) 933-7451
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC008322
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC008322
COMMONWEALTH OF PENNSYLVANIA
PA
Enumeration date
04/22/2016
Last updated
04/22/2016
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