Provider Demographics
NPI:1194939892
Name:DIGGLES, CHRISTOPHER SYDNEY (PA LCSW, BCD, QCSW)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:SYDNEY
Last Name:DIGGLES
Suffix:
Gender:M
Credentials:PA LCSW, BCD, QCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 CAMERON RD
Mailing Address - Street 2:NA
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-2408
Mailing Address - Country:US
Mailing Address - Phone:215-498-2482
Mailing Address - Fax:215-659-4162
Practice Address - Street 1:302 CAMERON RD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-2408
Practice Address - Country:US
Practice Address - Phone:215-498-2482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0135101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical