ANTONINA DEVERUE NPI 1235990789

NPI Information

  • NPI: 1235990789
  • Provider Name: ANTONINA DEVERUE
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4641 E ROOSEVELT BLVD
    PHILADELPHIA, PA
    ZIP 19124
  • Phone: (215) 831-2962

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NPI Details

Antonina Deverue is a professional counselor in Philadelphia, PA. Antonina Deverue NPI is 1235990789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4641 E ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19124-343
Phone: (215) 831-2962

The enumeration date for this NPI number is 1/22/2024 and was last updated on 1/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalPC008783PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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