Provider Demographics
NPI:1629415617
Name:SATYAMURTHY, NITARAH KALISHKA (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:NITARAH
Middle Name:KALISHKA
Last Name:SATYAMURTHY
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 MAPLETON DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17112-3637
Mailing Address - Country:US
Mailing Address - Phone:484-332-4817
Mailing Address - Fax:
Practice Address - Street 1:4740 DELBROOK RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-3041
Practice Address - Country:US
Practice Address - Phone:717-766-8517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006829101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional