Provider Demographics
NPI:1821141318
Name:PILCHER, DEIDRE JOY (LGMFT)
Entity Type:Individual
Prefix:
First Name:DEIDRE
Middle Name:JOY
Last Name:PILCHER
Suffix:
Gender:F
Credentials:LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 POULTNEY PL
Mailing Address - Street 2:
Mailing Address - City:NEW MARKET
Mailing Address - State:MD
Mailing Address - Zip Code:21774-6540
Mailing Address - Country:US
Mailing Address - Phone:801-850-8227
Mailing Address - Fax:
Practice Address - Street 1:314 POULTNEY PL
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-6540
Practice Address - Country:US
Practice Address - Phone:801-850-8227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM839106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty