1932501236 NPI number — DITTMAR COUNSELING SERVICES, L.L.C.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932501236 NPI number — DITTMAR COUNSELING SERVICES, L.L.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DITTMAR COUNSELING SERVICES, L.L.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932501236
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4936 ROUTE 30
Provider Second Line Business Mailing Address:
SUITE 204
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-2343
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-610-7726
Provider Business Mailing Address Fax Number:
724-420-5739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4936 ROUTE 30
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-2343
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-610-7726
Provider Business Practice Location Address Fax Number:
724-420-5739
Provider Enumeration Date:
09/18/2014

Additional Information

Authorized Official

Authorized Official Last Name:
DITTMAR
Authorized Official First Name:
ANN
Authorized Official Middle Name:
S
Authorized Official Title or Position:
CLINICIAN/OWNER
Authorized Official Telephone Number:
724-853-6942

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  CW006295L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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