Individual
DEIDRE LUPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 PENN AVE STE 305, WYOMISSING, PA 19610-2100
(484) 525-0509
Mailing address
1235 PENN AVE STE 305, WYOMISSING, PA 19610-2100
(484) 525-0509
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC013761
PA
101YM0800X
Mental Health Counselor
PC013761
PA
101YP2500X
Professional Counselor
Primary
PC013761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366655797
ORGANIZATION NPI
—
Enumeration date
01/13/2018
Last updated
09/29/2024
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