Provider Demographics
NPI:1225185309
Name:MOUNT, KATIE HOCH (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:KATIE
Middle Name:HOCH
Last Name:MOUNT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1987 STATE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:EAST PETERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17520-1324
Mailing Address - Country:US
Mailing Address - Phone:717-826-0030
Mailing Address - Fax:
Practice Address - Street 1:1987 STATE ST STE 204
Practice Address - Street 2:
Practice Address - City:EAST PETERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17520-1324
Practice Address - Country:US
Practice Address - Phone:717-826-0030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004236101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2785328000OtherIBC IND PROVIDER ID