Provider Demographics
NPI:1023365657
Name:UBER COUNSELING & CONSULTATION
Entity Type:Organization
Organization Name:UBER COUNSELING & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:UBER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:724-974-1513
Mailing Address - Street 1:425 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-2206
Mailing Address - Country:US
Mailing Address - Phone:724-974-1513
Mailing Address - Fax:724-458-5929
Practice Address - Street 1:10 SNYDER RD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-3432
Practice Address - Country:US
Practice Address - Phone:724-974-1513
Practice Address - Fax:724-458-5929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS16458251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health