Provider Demographics
NPI:1548738073
Name:HUNSICKER, MICHELE LYNN (MS)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:HUNSICKER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19601-1498
Mailing Address - Country:US
Mailing Address - Phone:610-478-8266
Mailing Address - Fax:
Practice Address - Street 1:2000 S 25TH ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-6031
Practice Address - Country:US
Practice Address - Phone:610-308-4227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA2478527101YS0200X, 101YM0800X
NJ2478527101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool