=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902617228
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIKA D RUMSEY MS, AMFT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/16/2025
-----------------------------------------------------
Last Update Date | 01/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 63 3RD ST
-----------------------------------------------------
City | MANSFIELD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16933-1262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 570-662-7600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 23 COURT LN
-----------------------------------------------------
City | LIBERTY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16930-9207
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-728-5884
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | AMF000047
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------