SHANNON KAY KOVALCHICK LPC
NPI 1912689605
Counselor - Professional in Derry, PA
- Individual
- Female
- Counselor
- Professional
About SHANNON KOVALCHICK
This page provides the complete NPI Profile along with additional information for Shannon Kovalchick, a provider established in Derry, Pennsylvania with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1912689605 assigned on August 2023. The practitioner's primary taxonomy code is 101YP2500X with license number PC015910 (PA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1912689605 Verify this NPI
- Provider Name
- SHANNON KAY KOVALCHICK LPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 GREENFIELD RD DERRY, PA 15627
- Location Phone
- (724) 968-9810
- Mailing Address
- 111 GREENFIELD RD DERRY, PA 15627
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-02-2023
- Last Update Date
- 08-02-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PC015910
- License State
- PA
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1912689605, enumerated as an "individual" on August 02, 2023.
The provider is located at 111 GREENFIELD RD DERRY, PA 15627 and the phone number is (724) 968-9810.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
