Provider Demographics
NPI:1982588562
Name:HEDAYATFAR, MONA (LPC)
Entity type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:HEDAYATFAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 THOMAS JONES WAY STE 850
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2564
Mailing Address - Country:US
Mailing Address - Phone:484-879-6751
Mailing Address - Fax:484-879-6759
Practice Address - Street 1:479 THOMAS JONES WAY STE 850
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2564
Practice Address - Country:US
Practice Address - Phone:484-879-6751
Practice Address - Fax:484-879-6759
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC019038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional