Provider Demographics
NPI:1689884926
Name:DEAN, MARK (ATR-BC, LPC)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:DEAN
Suffix:
Gender:M
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 1:42 WINDERMERE AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-1812
Mailing Address - Country:US
Mailing Address - Phone:610-259-2550
Mailing Address - Fax:
Practice Address - Street 1:42 WINDERMERE AVE
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-1812
Practice Address - Country:US
Practice Address - Phone:610-259-2550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPC001321OtherPROFESSIONAL COUNSELOR