MEDICARE: MS. LAURA ALISON UHLMAN MA

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
1	101YP2500X	Professional Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1558143230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAURA ALISON UHLMAN MA

Provider Business Mailing Address
First Line	:	30 GLADE RUN DR
Second Line	:
City	:	ZELIENOPLE
State	:	PA
Zip	:	16063-2200
Country	:	US
Telephone Number	:	724-452-4453
Fax Number	:

Provider Business Practice Location Address
First Line	:	391 HOOKER RD
Second Line	:
City	:	WEST SUNBURY
State	:	PA
Zip	:	16061-2713
Country	:	US
Telephone Number	:	724-633-7211
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2023
Last Update Date	:	10/18/2023

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