Provider Demographics
NPI:1336801612
Name:MARCHESANI, ANGELA DORA (LPC)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:DORA
Last Name:MARCHESANI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:DORA
Other - Last Name:DOBRZYNSKI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:114 LOCUST KNOLL RD
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-1324
Mailing Address - Country:US
Mailing Address - Phone:484-345-8947
Mailing Address - Fax:
Practice Address - Street 1:114 LOCUST KNOLL RD
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-1324
Practice Address - Country:US
Practice Address - Phone:484-345-8947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC10936101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional