Provider Demographics
NPI:1407044183
Name:DECHIARO, BRIGITTE REGINA (ATR-BC, LPC)
Entity Type:Individual
Prefix:MRS
First Name:BRIGITTE
Middle Name:REGINA
Last Name:DECHIARO
Suffix:
Gender:F
Credentials:ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2382 TABATHA DR
Mailing Address - Street 2:
Mailing Address - City:WARRINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:18976-2369
Mailing Address - Country:US
Mailing Address - Phone:215-518-0508
Mailing Address - Fax:215-489-3020
Practice Address - Street 1:1210 OLD YORK RD
Practice Address - Street 2:SUITE 202
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2013
Practice Address - Country:US
Practice Address - Phone:215-444-9204
Practice Address - Fax:215-444-9206
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004535101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2855179000OtherIBC