Provider Demographics
NPI:1548718414
Name:BIEBER, DANIELLE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BIEBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 STRAFFORD AVE
Mailing Address - Street 2:BUILDLING 4, SUITE 1
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3317
Mailing Address - Country:US
Mailing Address - Phone:484-402-8345
Mailing Address - Fax:
Practice Address - Street 1:175 STRAFFORD AVE
Practice Address - Street 2:BUILDLING 4, SUITE 1
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3317
Practice Address - Country:US
Practice Address - Phone:484-402-8345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-20
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health