Healthcare Provider Details

I. General information

NPI: 1124228200
Provider Name (Legal Business Name): AMY MARIE TALIPSKI L.P.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 LINCOLN ST
TAYLOR PA
18517
US

IV. Provider business mailing address

401 LINCOLN ST
TAYLOR PA
18517-1929
US

V. Phone/Fax

Practice location:
  • Phone: 570-430-4526
  • Fax:
Mailing address:
  • Phone: 570-430-4526
  • Fax: 570-829-7781

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC011206
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: