Provider Demographics
NPI:1356008833
Name:MOYER, DEAN W II (MS LPC NCC)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:W
Last Name:MOYER
Suffix:II
Gender:M
Credentials:MS LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 W CHESTER PIKE APT C17
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-4239
Mailing Address - Country:US
Mailing Address - Phone:610-325-4611
Mailing Address - Fax:
Practice Address - Street 1:3421 W CHESTER PIKE APT C17
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4239
Practice Address - Country:US
Practice Address - Phone:610-325-4611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional