MEDICARE: YOSR HASIB ELSOBKY MA, PSYD CANDIDATE

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	101YM0800X	Mental Health Counselor		PA

General Provider Information

NPI Number	:	1346191012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOSR HASIB ELSOBKY MA, PSYD CANDIDATE

Provider Business Mailing Address
First Line	:	103 GOLDFINCH PL
Second Line	:
City	:	HACKETTSTOWN
State	:	NJ
Zip	:	07840-3021
Country	:	US
Telephone Number	:	973-216-3093
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 LARCH ST FL 3
Second Line	:
City	:	SCRANTON
State	:	PA
Zip	:	18509-2802
Country	:	US
Telephone Number	:	570-489-5561
Fax Number	:	570-489-5563

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

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/11/2026

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