Provider Demographics
NPI:1457132565
Name:OBERSCHMIDT, REBECCA (MS, CGC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:OBERSCHMIDT
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S 2ND ST APT 919
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2506
Mailing Address - Country:US
Mailing Address - Phone:302-668-9509
Mailing Address - Fax:
Practice Address - Street 1:100 S 2ND ST STE 4B
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2546
Practice Address - Country:US
Practice Address - Phone:717-231-6305
Practice Address - Fax:717-231-8490
Is Sole Proprietor?:No
Enumeration Date:2023-10-13
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAGC000919170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS