Provider Demographics
NPI:1619083318
Name:OFFENBECHER, ANDREW ERIC (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:ERIC
Last Name:OFFENBECHER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3208 STOCKTON PLACE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966
Mailing Address - Country:US
Mailing Address - Phone:215-579-1604
Mailing Address - Fax:
Practice Address - Street 1:780 NEWTOWN YARDLEY RD
Practice Address - Street 2:SUITE 323
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-4502
Practice Address - Country:US
Practice Address - Phone:215-579-1604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003733L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000179808OtherBLUE CROSS BLUE SHIELD
PA000179808OtherBLUE CROSS BLUE SHIELD