Provider Demographics
NPI:1912179987
Name:SCHOBERG, VICTORIA L (MS, LCPC, LCP)
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:L
Last Name:SCHOBERG
Suffix:
Gender:F
Credentials:MS, LCPC, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 BROADWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-2501
Mailing Address - Country:US
Mailing Address - Phone:717-630-9179
Mailing Address - Fax:717-630-9169
Practice Address - Street 1:228 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-2501
Practice Address - Country:US
Practice Address - Phone:717-630-9179
Practice Address - Fax:717-630-9169
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-29
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007381101YP2500X
MDLC2859101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC2859OtherLICENSE
PAPC007381OtherLICENSE
MD018907300Medicaid