Provider Demographics
NPI:1760802573
Name:SIBAL, ERIN LYNN (MA, LPC, BSL)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LYNN
Last Name:SIBAL
Suffix:
Gender:F
Credentials:MA, LPC, BSL
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:LYNN
Other - Last Name:COPP-STROHMIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPC, BSL
Mailing Address - Street 1:219 E LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-3738
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:404 E HIGH ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5622
Practice Address - Country:US
Practice Address - Phone:484-973-6661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-18
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007512101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional