Provider Demographics
NPI:1881811263
Name:GREBERMAN, LAUREL ANN (LPC, MBA)
Entity type:Individual
Prefix:MRS
First Name:LAUREL
Middle Name:ANN
Last Name:GREBERMAN
Suffix:
Gender:F
Credentials:LPC, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W GERMANTOWN PIKE STE 160
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1421
Mailing Address - Country:US
Mailing Address - Phone:215-206-9799
Mailing Address - Fax:
Practice Address - Street 1:140 W GERMANTOWN PIKE STE 160
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1421
Practice Address - Country:US
Practice Address - Phone:215-206-9799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003766101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional