Provider Demographics
NPI:1467785634
Name:MANSBERGER-DARBY, LOUANN RUTH (MS, LPC, LPN)
Entity Type:Individual
Prefix:MRS
First Name:LOUANN
Middle Name:RUTH
Last Name:MANSBERGER-DARBY
Suffix:
Gender:F
Credentials:MS, LPC, LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10663 RAYSTOWN RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-7542
Mailing Address - Country:US
Mailing Address - Phone:814-627-0100
Mailing Address - Fax:
Practice Address - Street 1:10663 RAYSTOWN RD
Practice Address - Street 2:SUITE A
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-7542
Practice Address - Country:US
Practice Address - Phone:814-627-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000192101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional