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NPI Code Detail

MEDICARE: DR. KRISTEN MARIE SOBKIEWICZ PSY.D.

MEDICARE:  DR. KRISTEN MARIE SOBKIEWICZ  PSY.D.
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
1103T00000XPsychologistPS018558PA

General Provider Information

NPI Number : 1619455771
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KRISTEN MARIE SOBKIEWICZ PSY.D.
Provider Business Mailing Address
First Line : 100 EMERSON LN STE 1525
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-3484
Country : US
Telephone Number : 724-972-4343
Fax Number :
Provider Business Practice Location Address
First Line : 100 EMERSON LN STE 1525
Second Line :
City : BRIDGEVILLE
State : PA
Zip : 15017-3484
Country : US
Telephone Number : 724-972-4343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2018
Last Update Date : 08/01/2018

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Directions to “ DR. KRISTEN MARIE SOBKIEWICZ PSY.D.” Practice Location

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