Healthcare Provider Details

I. General information

NPI: 1497754998
Provider Name (Legal Business Name): SYBIL SCHIFFMAN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 10/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 TAVERN RD
MARTINSBURG WV
25401-2890
US

IV. Provider business mailing address

99 TAVERN RD
MARTINSBURG WV
25401-2890
US

V. Phone/Fax

Practice location:
  • Phone: 304-263-7023
  • Fax: 304-264-0508
Mailing address:
  • Phone: 304-263-4999
  • Fax: 304-263-0984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1017
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: