Provider Demographics
NPI:1992002646
Name:BARTKO, SARAH BETH (LPC)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:BARTKO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 COMMERCE DR
Mailing Address - Street 2:SUITE 907
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4746
Mailing Address - Country:US
Mailing Address - Phone:724-991-0356
Mailing Address - Fax:
Practice Address - Street 1:900 COMMERCE DR
Practice Address - Street 2:SUITE 907
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-4746
Practice Address - Country:US
Practice Address - Phone:724-991-0356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005794101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional