Doctor Name: | DR. DENISE RENEE PURNELL |
NPI Number: | 1457405557 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D., LPC, LPCMH |
License Number: | PC003625 |
Business Practice Address: | 1234 Maple Ave Elsmere, DE - 198055035 |
Business Phone Number: | 3029981084 |
Business Fax Number: | 3029981084 |
Mailing Address: | 1301 Kirkwood Hwy, ELSMERE |
State: | DE |
Postal Code: | 198052121 |
Phone Number: | 3023833789 |
Fax Number: | 3029981084 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 06/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | PC003625 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |