Provider Demographics
NPI:1346384815
Name:LOPRETO, DANIEL BARRY (PHD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:BARRY
Last Name:LOPRETO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 REVERE RD
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1007
Mailing Address - Country:US
Mailing Address - Phone:610-668-8553
Mailing Address - Fax:610-668-2302
Practice Address - Street 1:11 BALA AVE
Practice Address - Street 2:SUITE 35
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-3201
Practice Address - Country:US
Practice Address - Phone:610-668-8553
Practice Address - Fax:610-668-2302
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005042L103T00000X
NJ35SI00230700103T00000X
DEB10000690103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist