Provider Demographics
NPI:1295612497
Name:WINGFIELD, ROBERTO (LAPC)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:
Last Name:WINGFIELD
Suffix:
Gender:M
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:643 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-2130
Mailing Address - Country:US
Mailing Address - Phone:804-564-8986
Mailing Address - Fax:
Practice Address - Street 1:2001 E MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-2841
Practice Address - Country:US
Practice Address - Phone:717-741-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001623101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional