Provider Demographics
NPI:1780092544
Name:SITVARIN-GARSTKA, LAURA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:SITVARIN-GARSTKA
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 1:670 WOODBOURNE RD
Mailing Address - Street 2:BUILDING NUMBER 4
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1847
Mailing Address - Country:US
Mailing Address - Phone:215-757-6916
Mailing Address - Fax:215-757-2115
Practice Address - Street 1:670 WOODBOURNE ROAD
Practice Address - Street 2:BUILDING NUMBER 4
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1847
Practice Address - Country:US
Practice Address - Phone:215-757-6916
Practice Address - Fax:215-757-2115
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor