Provider Demographics
NPI:1215615984
Name:FOLL, DEIRDRE MARIE (LPC ATR CAADC)
Entity type:Individual
Prefix:MS
First Name:DEIRDRE
Middle Name:MARIE
Last Name:FOLL
Suffix:
Gender:F
Credentials:LPC ATR CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 PINE ST
Mailing Address - Street 2:
Mailing Address - City:EDINBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16412-2054
Mailing Address - Country:US
Mailing Address - Phone:814-547-3392
Mailing Address - Fax:
Practice Address - Street 1:122 W LANCASTER AVE
Practice Address - Street 2:
Practice Address - City:SHILLINGTON
Practice Address - State:PA
Practice Address - Zip Code:19607-1881
Practice Address - Country:US
Practice Address - Phone:888-768-4372
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015846101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional