Provider Demographics
NPI:1497059513
Name:SOBZACK, AMY SUSAN (BS)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:SUSAN
Last Name:SOBZACK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3759 BUSIENSS RT 220
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15522-1130
Mailing Address - Country:US
Mailing Address - Phone:814-623-1212
Mailing Address - Fax:814-285-3023
Practice Address - Street 1:3759 BUSIENSS RT 220
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:PA
Practice Address - Zip Code:15522-1130
Practice Address - Country:US
Practice Address - Phone:814-623-1212
Practice Address - Fax:814-285-3023
Is Sole Proprietor?:No
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health