Daena Lynn Longenecker, LMFT

Individual provider Active NPI Marriage & Family Therapist · Mount Joy, PA

NPI 1396213641 · NPPES record last updated Nov 5, 2018

Key facts

NPI
1396213641
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MF000895 (PA)
Practice address
83 E Main St
Mount Joy, PA 17552-1424
Phone
(717) 413-9594
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MF000895PAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MF000895 PA Yes

Addresses

Primary practice location

83 E Main St
Mount Joy, PA 17552-1424

Mailing address

83 East Main Street
PO Box 357
Mt. Joy, PA 17552
Phone (717) 413-9594

Other providers in Mount Joy, PA

All providers in Mount Joy, PA · Marriage & Family Therapist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.