Provider Demographics
NPI:1083232748
Name:MCNAMARA, DEIRDRE (DHOM,)
Entity Type:Individual
Prefix:DR
First Name:DEIRDRE
Middle Name:
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:DHOM,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BUTLER PIKE
Mailing Address - Street 2:28D
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1700 BUTLER PIKE
Practice Address - Street 2:28D
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428
Practice Address - Country:US
Practice Address - Phone:215-558-5251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No171100000XOther Service ProvidersAcupuncturist