Joseph Taylor Birli, ED.D., LPC, NCC

Individual provider Active NPI Professional Counselor · Gap, PA

NPI 1851543870 · NPPES record last updated Oct 22, 2008

Key facts

NPI
1851543870
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PL004767 (PA)
Practice address
835 Houston Run Dr
Suite 230
Gap, PA 17527-9486
Phone
(717) 442-9577
Fax
(717) 442-9672
NPI assigned
Oct 22, 2008
Sex
Male
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
PL004767PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PL004767 PA Yes

Addresses

Primary practice location

835 Houston Run Dr
Suite 230
Gap, PA 17527-9486

Mailing address

835 Houston Run Dr
Suite 230
Gap, PA 17527-9486
Phone (717) 442-9577

Other providers in Gap, PA

All providers in Gap, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.