Provider Demographics
NPI:1578990586
Name:BRIGITTE DECHIARO, PC
Entity Type:Organization
Organization Name:BRIGITTE DECHIARO, PC
Other - Org Name:DECHIARO COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:R
Authorized Official - Last Name:DECHIARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-518-0508
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:215-343-8788
Practice Address - Street 1:1352 EASTON RD
Practice Address - Street 2:SUITE 7
Practice Address - City:WARRINGTON
Practice Address - State:PA
Practice Address - Zip Code:18976-1852
Practice Address - Country:US
Practice Address - Phone:215-518-0508
Practice Address - Fax:215-343-8788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004543101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty