Provider Demographics
NPI:1871225557
Name:DEMPSEY, MARY JOHANNA (MA)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:JOHANNA
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:21 E LANCASTER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2873
Mailing Address - Country:US
Mailing Address - Phone:610-295-5199
Mailing Address - Fax:610-271-8552
Practice Address - Street 1:21 E LANCASTER AVE STE C
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2873
Practice Address - Country:US
Practice Address - Phone:610-295-5199
Practice Address - Fax:610-271-8552
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health