Provider Demographics
NPI:1497218887
Name:ROHRBACH, KENNETH TERRY (LPC)
Entity Type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:TERRY
Last Name:ROHRBACH
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19602-2642
Mailing Address - Country:US
Mailing Address - Phone:610-763-0054
Mailing Address - Fax:
Practice Address - Street 1:450 S 5TH ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-2642
Practice Address - Country:US
Practice Address - Phone:610-372-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health