DOMINICK ANTHONY RENDINA LAPC
NPI 1508732637
Counselor - Professional in Old Forge, PA
Active since October 15, 2025
About Dominick Anthony Rendina Lapc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMINICK ANTHONY RENDINA LAPC (NPI 1508732637) is an individual professional provider in Old Forge, Pennsylvania, licensed in Pennsylvania (APC001760) and active in the NPI registry since October 2025.
NPPES Registry Identity
NPI1508732637
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDOMINICK ANTHONY RENDINACredential: LAPC
Location Address121 MOOSIC RDOld Forge, PA 18518-2082
Mailing Address1251 Wyoming AveExeter, PA 18643-1434 · (570) 342-8434 · Fax (570) 299-2521
Phone(570) 324-8434
Fax(570) 299-2521
Sole ProprietorNo
Enumeration DateOctober 15, 2025
Last NPPES UpdateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1508732637 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · APC001760
121 MOOSIC RD, Old Forge, PA 18518
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508732637, enumerated as an "individual" on October 15, 2025.
The provider is located at 121 MOOSIC RD OLD FORGE, PA 18518 and the phone number is (570) 324-8434.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
