Provider Demographics
NPI:1053698852
Name:DANQUAH, RICHARD Y (MOBILE THERAPIST)
Entity type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:Y
Last Name:DANQUAH
Suffix:
Gender:M
Credentials:MOBILE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8859 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1311
Mailing Address - Country:US
Mailing Address - Phone:267-307-9264
Mailing Address - Fax:
Practice Address - Street 1:8859 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1311
Practice Address - Country:US
Practice Address - Phone:267-307-9264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical