Provider Demographics
NPI:1487962650
Name:DELAPP, PERSEFONI TILIAKOS (LPC)
Entity type:Individual
Prefix:MRS
First Name:PERSEFONI
Middle Name:TILIAKOS
Last Name:DELAPP
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 BUTLER PIKE
Mailing Address - Street 2:APT. 14D
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-1273
Mailing Address - Country:US
Mailing Address - Phone:610-909-7923
Mailing Address - Fax:
Practice Address - Street 1:523 PLYMOUTH RD
Practice Address - Street 2:SUITE 215
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1656
Practice Address - Country:US
Practice Address - Phone:610-825-9400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-21
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005407101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional