1013219179 NPI number — DR. DEBORAH BIERSCHWALE PSY.D.

Table of content: DR. DEBORAH BIERSCHWALE PSY.D. (NPI 1013219179)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013219179 NPI number — DR. DEBORAH BIERSCHWALE PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BIERSCHWALE
Provider First Name:
DEBORAH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BIERSCHWALE
Provider Other First Name:
DEBBY
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSY.D.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1013219179
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/23/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
220 WAYNE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NARBERTH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19072-1813
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
31 N NARBERTH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NARBERTH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19072-2347
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-306-7478
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/23/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  PS009152L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)