Provider Demographics
NPI:1083047021
Name:MINTON, DARIA MARIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:DARIA
Middle Name:MARIE
Last Name:MINTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:DARIA
Other - Middle Name:MARIE
Other - Last Name:MARCHIONDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:1150 THORN RUN ROAD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108
Mailing Address - Country:US
Mailing Address - Phone:412-329-7778
Mailing Address - Fax:412-262-1555
Practice Address - Street 1:1150 THORN RUN ROAD
Practice Address - Street 2:SUITE 110
Practice Address - City:MOON TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:15108
Practice Address - Country:US
Practice Address - Phone:412-329-7778
Practice Address - Fax:412-262-1555
Is Sole Proprietor?:No
Enumeration Date:2013-08-13
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000734106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist