Provider Demographics
NPI:1962164988
Name:DAGNEY, JOSEPH EDWARD
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:EDWARD
Last Name:DAGNEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PARKESBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19365-1228
Mailing Address - Country:US
Mailing Address - Phone:610-616-5706
Mailing Address - Fax:
Practice Address - Street 1:226 MAIN ST
Practice Address - Street 2:
Practice Address - City:PARKESBURG
Practice Address - State:PA
Practice Address - Zip Code:19365-1228
Practice Address - Country:US
Practice Address - Phone:610-616-5706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013803101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional