Provider Demographics
NPI:1740857374
Name:VOYSTOCK, SARAH PONTIUS (LPC, ATR)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:PONTIUS
Last Name:VOYSTOCK
Suffix:
Gender:F
Credentials:LPC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1806 S SARTAIN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-2114
Mailing Address - Country:US
Mailing Address - Phone:717-380-2358
Mailing Address - Fax:
Practice Address - Street 1:1080 N DELAWARE AVE STE 600
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19125-4339
Practice Address - Country:US
Practice Address - Phone:154-960-7072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013066101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional