Provider Demographics
NPI:1396059465
Name:BALDWIN, JOAN E (LCP)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:E
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4844
Mailing Address - Country:US
Mailing Address - Phone:610-329-9720
Mailing Address - Fax:610-696-4808
Practice Address - Street 1:811 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4844
Practice Address - Country:US
Practice Address - Phone:610-329-9720
Practice Address - Fax:610-696-4808
Is Sole Proprietor?:No
Enumeration Date:2010-08-02
Last Update Date:2010-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005235101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional