Provider Demographics
NPI:1851782189
Name:SKEHAN, CANTRELL DONLEY (LPC, LBS)
Entity Type:Individual
Prefix:
First Name:CANTRELL
Middle Name:DONLEY
Last Name:SKEHAN
Suffix:
Gender:F
Credentials:LPC, LBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 MERION RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3728
Mailing Address - Country:US
Mailing Address - Phone:717-819-2025
Mailing Address - Fax:
Practice Address - Street 1:179 MERION RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3728
Practice Address - Country:US
Practice Address - Phone:717-819-2025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008017101YP2500X
PABH001655103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst