Provider Demographics
NPI:1326002866
Name:PETROSKI, KAREN R (MA,LMFT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:PETROSKI
Suffix:
Gender:F
Credentials:MA,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 S PIKE RD
Mailing Address - Street 2:
Mailing Address - City:SARVER
Mailing Address - State:PA
Mailing Address - Zip Code:16055-9202
Mailing Address - Country:US
Mailing Address - Phone:724-766-9238
Mailing Address - Fax:724-295-9944
Practice Address - Street 1:617 S PIKE RD
Practice Address - Street 2:
Practice Address - City:SARVER
Practice Address - State:PA
Practice Address - Zip Code:16055-9202
Practice Address - Country:US
Practice Address - Phone:724-766-9238
Practice Address - Fax:724-295-9944
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1446927OtherHIGHMARK
PA472813OtherVALUEOPTIONS
PA410129OtherUPMC-COMMERCIAL