Provider Demographics
NPI:1073950457
Name:SIKORA, DEANNA ELIZABETH (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:ELIZABETH
Last Name:SIKORA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:DEANNA
Other - Middle Name:ELIZABETH
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:111 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:GRINDSTONE
Mailing Address - State:PA
Mailing Address - Zip Code:15442-2104
Mailing Address - Country:US
Mailing Address - Phone:724-785-4346
Mailing Address - Fax:
Practice Address - Street 1:111 ROBERTS RD
Practice Address - Street 2:SUITE 150
Practice Address - City:GRINDSTONE
Practice Address - State:PA
Practice Address - Zip Code:15442-1105
Practice Address - Country:US
Practice Address - Phone:412-915-4714
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-26
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional