Provider Demographics
NPI:1194029975
Name:PARENT TO CHILD
Entity type:Organization
Organization Name:PARENT TO CHILD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, ART THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:FORREST
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:ATR-BC, LPC
Authorized Official - Phone:215-450-5271
Mailing Address - Street 1:737 BAINBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-2058
Mailing Address - Country:US
Mailing Address - Phone:215-450-5271
Mailing Address - Fax:215-733-0951
Practice Address - Street 1:737 BAINBRIDGE ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-2058
Practice Address - Country:US
Practice Address - Phone:215-450-5271
Practice Address - Fax:215-733-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003639101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty