Laurie Shirey Deardorff, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

02698 Issued in MD

Practice address

458 Melrie Dr
York, PA 17403

Phone

(410) 615-8195

NPI assigned

Mar 10, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1326170846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 MELRIE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174039762",
            "telephone_number": "410-615-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 MELRIE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "17403",
            "telephone_number": "410-615-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10401 Greenside Dr",
            "address_2": "Student Support Services at Cockeysville Middle",
            "address_purpose": "LOCATION",
            "city": "Cockeysville",
            "state": "MD",
            "postal_code": "21030",
            "country_code": "US",
            "telephone_number": "410-887-7877",
            "fax_number": "410-666-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEARDORFF",
        "first_name": "LAURIE",
        "middle_name": "SHIREY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS008380L",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dca of York LLC
• Ann B De Bien, CRNP
• Robert Deal
• Anthony Terelle Dean Jr.
• Taylor Allison Deannuntis
• Sara Deas, MA, LAPC
• Sharon Debeaumont, RN
• Domenic Decaria, LPC
• Zachary Decatur, M.D.
• Nicole Decker, LPC

• Clinical Psychologist in York, PA
• Providers in York, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.