Provider Demographics
NPI:1346662129
Name:ZAMBORSKY, LISA (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:ZAMBORSKY
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2207 KEYSTONE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5205
Mailing Address - Country:US
Mailing Address - Phone:412-691-0272
Mailing Address - Fax:
Practice Address - Street 1:2207 KEYSTONE AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5205
Practice Address - Country:US
Practice Address - Phone:412-691-0272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006847101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional