Provider Demographics
NPI:1487371993
Name:IERARDI, FLORENCE
Entity type:Individual
Prefix:
First Name:FLORENCE
Middle Name:
Last Name:IERARDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FLORENCE
Other - Middle Name:
Other - Last Name:IERARDI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, MT-BC
Mailing Address - Street 1:804 FAIRFAX RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-1612
Mailing Address - Country:US
Mailing Address - Phone:610-659-2354
Mailing Address - Fax:
Practice Address - Street 1:804 FAIRFAX RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-1612
Practice Address - Country:US
Practice Address - Phone:610-659-2354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC00381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional