Provider Demographics
NPI:1700592425
Name:DEIHL, DOROTHY L (LCSW)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:L
Last Name:DEIHL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 WILDEN DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5622
Mailing Address - Country:US
Mailing Address - Phone:484-903-9676
Mailing Address - Fax:
Practice Address - Street 1:299 INDUSTRIAL PARK RD STE 2
Practice Address - Street 2:
Practice Address - City:NAZARETH
Practice Address - State:PA
Practice Address - Zip Code:18064-2439
Practice Address - Country:US
Practice Address - Phone:610-504-6122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health