Provider Demographics
NPI:1942480223
Name:SAID, ANDREW E (LPC)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:SAID
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 288
Mailing Address - Street 2:
Mailing Address - City:STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18360-0288
Mailing Address - Country:US
Mailing Address - Phone:570-620-4311
Mailing Address - Fax:570-620-4332
Practice Address - Street 1:105 TERRACE DR STE 102
Practice Address - Street 2:
Practice Address - City:STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18360-7510
Practice Address - Country:US
Practice Address - Phone:570-620-4311
Practice Address - Fax:570-620-4332
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PC007007101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health