Provider Demographics
NPI:1952697005
Name:BARTHLE, DEIRDRE MARIE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEIRDRE
Middle Name:MARIE
Last Name:BARTHLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:DEIRDRE
Other - Middle Name:MARIE
Other - Last Name:PRICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:306 EXTON COMMONS
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341
Mailing Address - Country:US
Mailing Address - Phone:610-968-1236
Mailing Address - Fax:610-968-1236
Practice Address - Street 1:306 EXTON COMMONS
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:610-968-1236
Practice Address - Fax:610-968-1236
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-27
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PAPC011647101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health