Provider Demographics
NPI:1932579109
Name:DINARDO, DENA MARIE (LMFT)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:MARIE
Last Name:DINARDO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 E COLUMBIA AVE
Mailing Address - Street 2:APT. 207
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19125-4405
Mailing Address - Country:US
Mailing Address - Phone:267-261-8866
Mailing Address - Fax:
Practice Address - Street 1:8612 GERMANTOWN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-2841
Practice Address - Country:US
Practice Address - Phone:267-261-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-01
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000854106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist