Provider Demographics
NPI:1528376381
Name:STIMMEL, MARGARET DIANA (MA LPC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:DIANA
Last Name:STIMMEL
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:DIANA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:315 S ALLEN ST
Mailing Address - Street 2:SUITE 124B
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801-4849
Mailing Address - Country:US
Mailing Address - Phone:814-272-1300
Mailing Address - Fax:814-272-1300
Practice Address - Street 1:315 S ALLEN ST SUITE 124B
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-4849
Practice Address - Country:US
Practice Address - Phone:814-272-1300
Practice Address - Fax:814-954-4861
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-15
Last Update Date:2018-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006346101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1027232840002Medicaid