Provider Demographics
NPI:1336856350
Name:SKARBEK, AUDRIANNA CAITLIN
Entity Type:Individual
Prefix:
First Name:AUDRIANNA
Middle Name:CAITLIN
Last Name:SKARBEK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7112 TOWNLINE RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-9623
Mailing Address - Country:US
Mailing Address - Phone:919-265-8262
Mailing Address - Fax:
Practice Address - Street 1:3176 ABBOTT RD # 800
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1069
Practice Address - Country:US
Practice Address - Phone:716-795-6166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health