Deidre Lpc, Llc | |
1235 Penn Ave Ste 305 Wyomissing PA 19610-2100 | |
(484) 525-0509 | |
Not Available |
Full Name | Deidre Lpc, Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1235 Penn Ave Ste 305, Wyomissing, Pennsylvania |
Authorized Official Name and Position | Deidre Lupia (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 4845250509 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deidre Lpc, Llc 102 Turning Leaf Way Reading PA 19605-9112 Ph: (484) 769-2862 | Deidre Lpc, Llc 1235 Penn Ave Ste 305 Wyomissing PA 19610-2100 Ph: (484) 525-0509 |
NPI Number | 1487485918 |
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Provider Enumeration Date | 08/07/2024 |
Last Update Date | 09/28/2024 |
Certification Date | 09/28/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487485918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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