Provider Demographics
NPI:1124391784
Name:EPLER, DANIELLE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:
Last Name:EPLER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 N BETHLEHEM PIKE STE 203
Mailing Address - Street 2:
Mailing Address - City:LOWER GWYNEDD
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2656
Mailing Address - Country:US
Mailing Address - Phone:215-918-8145
Mailing Address - Fax:
Practice Address - Street 1:716 N BETHLEHEM PIKE STE 203
Practice Address - Street 2:
Practice Address - City:LOWER GWYNEDD
Practice Address - State:PA
Practice Address - Zip Code:19002-2656
Practice Address - Country:US
Practice Address - Phone:215-918-8145
Practice Address - Fax:610-430-7395
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2021-08-23
Deactivation Date:2019-08-27
Deactivation Code:
Reactivation Date:2019-09-05
Provider Licenses
StateLicense IDTaxonomies
PAPS018905103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist