Provider Demographics
NPI:1043554777
Name:PETER B OSCSODAL, LPC
Entity Type:Organization
Organization Name:PETER B OSCSODAL, LPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT COUNSELOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:B
Authorized Official - Last Name:OSCSODAL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:717-817-8658
Mailing Address - Street 1:1615 STONY BATTERY RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-1281
Mailing Address - Country:US
Mailing Address - Phone:717-285-4843
Mailing Address - Fax:
Practice Address - Street 1:1615 STONY BATTERY RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-1281
Practice Address - Country:US
Practice Address - Phone:717-285-4843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-19
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005718251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health