Individual provider · Type 1 NPI
Dean Minissale
Professional Counselor · Philadelphia, PA
NPI number
1407643869
Active
Practice location
4601 Market St
Philadelphia, PA 19139-4636
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC018358 (PA) |
| Behavior Analyst | 103K00000X | 14271722-2506 (UT) |
Professional Counselor: Definition to come...
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About NPI 1407643869
Dean Minissale's National Provider Identifier is 1407643869, issued on Apr 21, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Jun 3, 2026.