JASON VASTARDIS
NPI 1326583477
Counselor - Professional in Newtown Square, PA
- Individual
- Male
- Counselor
- Professional
About JASON VASTARDIS
This page provides the complete NPI Profile along with additional information for Jason Vastardis, a provider established in Newtown Square, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1326583477 assigned on December 2016. The practitioner's primary taxonomy code is 101YP2500X with license number PC009008 (PA). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1326583477 Verify this NPI
- Provider Name
- JASON VASTARDIS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3553 W CHESTER PIKE # 416 NEWTOWN SQUARE, PA 19073
- Location Phone
- (917) 855-3248
- Mailing Address
- 3553 W CHESTER PIKE UNIT 416 NEWTOWN SQUARE, PA 19073
- Mailing Phone
- (917) 855-3248
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-28-2016
- Last Update Date
- 02-13-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC009008
- License State
- PA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326583477, enumerated as an "individual" on December 28, 2016.
The provider is located at 3553 W CHESTER PIKE # 416 NEWTOWN SQUARE, PA 19073 and the phone number is (917) 855-3248.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
