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NPI Code Detail

MEDICARE: MRS. DEANNA ELIZABETH SIKORA LPC

MEDICARE: MRS. DEANNA ELIZABETH SIKORA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC006958PA

General Provider Information

NPI Number : 1073950457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEANNA ELIZABETH SIKORA LPC
Provider Business Mailing Address
First Line : 111 ROBERTS RD
Second Line :
City : GRINDSTONE
State : PA
Zip : 15442-2104
Country : US
Telephone Number : 724-785-4346
Fax Number :
Provider Business Practice Location Address
First Line : 111 ROBERTS RD
Second Line : SUITE 150
City : GRINDSTONE
State : PA
Zip : 15442-1105
Country : US
Telephone Number : 412-915-4714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2013
Last Update Date : 12/27/2017

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