Provider Demographics
NPI:1689484107
Name:SOFIE, DEANNA BENNETT (MA)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:BENNETT
Last Name:SOFIE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 E LANCASTER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2873
Mailing Address - Country:US
Mailing Address - Phone:610-295-5199
Mailing Address - Fax:610-271-8552
Practice Address - Street 1:21 E LANCASTER AVE STE C
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2873
Practice Address - Country:US
Practice Address - Phone:610-295-5199
Practice Address - Fax:610-271-8552
Is Sole Proprietor?:No
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health