Healthcare Provider Details

I. General information

NPI: 1831969443
Provider Name (Legal Business Name): DINA EILEEN HUTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 CORNERSTONE DR
LANGHORNE PA
19047-1314
US

IV. Provider business mailing address

4 CORNERSTONE DR
LANGHORNE PA
19047-1314
US

V. Phone/Fax

Practice location:
  • Phone: 215-757-6916
  • Fax:
Mailing address:
  • Phone: 215-757-6916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC017385
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPCO17385
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: