Provider Demographics
NPI:1497306872
Name:DENTON, MAURICE (LPC)
Entity Type:Individual
Prefix:MR
First Name:MAURICE
Middle Name:
Last Name:DENTON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2310
Mailing Address - Country:US
Mailing Address - Phone:610-931-1707
Mailing Address - Fax:
Practice Address - Street 1:501 WASHINGTON LN STE 200
Practice Address - Street 2:
Practice Address - City:JENKINTOWN
Practice Address - State:PA
Practice Address - Zip Code:19046-3145
Practice Address - Country:US
Practice Address - Phone:267-414-3449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-26
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional