Provider Demographics
NPI:1063816908
Name:DARRAH, EDWARD P (LPC)
Entity Type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:P
Last Name:DARRAH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E LANCASTER AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2142
Mailing Address - Country:US
Mailing Address - Phone:215-315-7910
Mailing Address - Fax:610-645-5644
Practice Address - Street 1:300 E LANCASTER AVE STE 200
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2142
Practice Address - Country:US
Practice Address - Phone:215-315-7910
Practice Address - Fax:610-645-5644
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-21
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007825101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional