Provider Demographics
NPI:1790992543
Name:SKONIECKI, STEFANIE ELIZABETH (MA)
Entity Type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:ELIZABETH
Last Name:SKONIECKI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 COLD STREAM CIR APT L
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-4204
Mailing Address - Country:US
Mailing Address - Phone:610-966-1320
Mailing Address - Fax:
Practice Address - Street 1:530 UNION BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18109-3230
Practice Address - Country:US
Practice Address - Phone:610-435-1541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health