Provider Demographics
NPI:1255464426
Name:CONTORCHICK, ROBERT L (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:L
Last Name:CONTORCHICK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:142 GAZEBO PARK
Mailing Address - Street 2:SUITE 301
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1810
Mailing Address - Country:US
Mailing Address - Phone:814-536-7313
Mailing Address - Fax:814-535-2177
Practice Address - Street 1:142 GAZEBO PARK
Practice Address - Street 2:SUITE 301
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1810
Practice Address - Country:US
Practice Address - Phone:814-536-7313
Practice Address - Fax:814-535-2177
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001469358OtherCOMMUNITY CARE THERAPIST
PA1469358OtherHIGHMARK BC BS PROVIDER