Provider Demographics
NPI:1174120398
Name:D'ONOFRIO, SALINA ANTONIETTA (ATR-BC, LPC)
Entity type:Individual
Prefix:
First Name:SALINA
Middle Name:ANTONIETTA
Last Name:D'ONOFRIO
Suffix:
Gender:F
Credentials:ATR-BC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 W SALAIGNAC ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-1820
Mailing Address - Country:US
Mailing Address - Phone:484-686-2490
Mailing Address - Fax:
Practice Address - Street 1:101 E 8TH AVE STE 216
Practice Address - Street 2:
Practice Address - City:CONSHOHOCKEN
Practice Address - State:PA
Practice Address - Zip Code:19428-1773
Practice Address - Country:US
Practice Address - Phone:484-686-2490
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-01
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health