Individual provider · Type 1 NPI
Shane William Hartie, MDIV
Counselor · Haverford, PA
NPI number
1861894693
Active
Practice location
551 W Lancaster Ave
Haverford, PA 19041-1419
Mailing address
4336 Teesdale St
Philadelphia, PA 19136-3903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1861894693
Shane William Hartie, MDIV's National Provider Identifier is 1861894693, issued on Sep 24, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Haverford, PA. The record was last updated on Sep 24, 2014.