Healthcare Provider Details

I. General information

NPI: 1174206163
Provider Name (Legal Business Name): ALYSSA SCHEERBAUM MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2023
Last Update Date: 10/20/2023
Certification Date: 10/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 VICAR LN
LEVITTOWN PA
19054-1310
US

IV. Provider business mailing address

70 VICAR LN
LEVITTOWN PA
19054-1310
US

V. Phone/Fax

Practice location:
  • Phone: 267-563-8176
  • Fax:
Mailing address:
  • Phone: 267-563-8176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC015951
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: