Individual
MATTHEW PB KORNFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAADC
Contact information
Practice address
9815 ROOSEVELT BLVD, SUITE B, PHILADELPHIA, PA 19114-1011
(610) 644-6464
(610) 889-0732
Mailing address
1440 RUSSELL RD, PAOLI, PA 19301-1236
(610) 644-6464
(610) 889-0732
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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