Provider Demographics
NPI:1972371441
Name:DESIMONE, EVE (LPC)
Entity Type:Individual
Prefix:
First Name:EVE
Middle Name:
Last Name:DESIMONE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:79 TULIP RD
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-2441
Mailing Address - Country:US
Mailing Address - Phone:215-510-1693
Mailing Address - Fax:
Practice Address - Street 1:809 NORTH BETHLEHEM PIKE
Practice Address - Street 2:BUILDING C SUITE G
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002
Practice Address - Country:US
Practice Address - Phone:484-531-6681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013917101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional