Provider Demographics
NPI:1346973914
Name:SKROBISZ, STEPHANIE ANNE (MS)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ANNE
Last Name:SKROBISZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:SKROBISZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1309 DR MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-5525
Mailing Address - Country:US
Mailing Address - Phone:831-325-8420
Mailing Address - Fax:
Practice Address - Street 1:1309 DR MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-5525
Practice Address - Country:US
Practice Address - Phone:831-325-8420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-01
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health