Provider Demographics
NPI:1255494308
Name:SENSENIG, MARIE (REGISTERED NURSE LIC)
Entity type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:
Last Name:SENSENIG
Suffix:
Gender:F
Credentials:REGISTERED NURSE LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 FARR ROAD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19610
Mailing Address - Country:US
Mailing Address - Phone:610-374-0715
Mailing Address - Fax:610-373-5265
Practice Address - Street 1:244 N 5TH STREET
Practice Address - Street 2:CALLOWHILL FAMILY THERAPY
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19601
Practice Address - Country:US
Practice Address - Phone:610-372-8822
Practice Address - Fax:610-372-6626
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002691101YP1600X
PARN261783L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
11556042OtherCAGH ID#