Provider Demographics
NPI:1760401723
Name:DORSAINVILLE, DARNELLE L (MS, CGC)
Entity Type:Individual
Prefix:MISS
First Name:DARNELLE
Middle Name:L
Last Name:DORSAINVILLE
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 N BETHLEHEM PIKE
Mailing Address - Street 2:UNIT 13 F
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2509
Mailing Address - Country:US
Mailing Address - Phone:215-542-2947
Mailing Address - Fax:
Practice Address - Street 1:5501 OLD YORK RD
Practice Address - Street 2:LEVY BLDG 2 WEST
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:215-456-8764
Practice Address - Fax:215-456-2356
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS