| Amanda Kathryn Gwiazdowski, LPC | |
|
20 N Laurel St, Hazleton, PA 18201-5948 | |
| (570) 825-6425 | |
| Not Available |
| Full Name | Amanda Kathryn Gwiazdowski |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 20 N Laurel St, Hazleton, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518679117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC014880 (Pennsylvania) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Childrens Service Center Of Wyoming Valley Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700861242 PECOS PAC ID: 1052567617 Enrollment ID: O20170609001473 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Kathryn Gwiazdowski, LPC 335 S Franklin St, Wilkes Barre, PA 18702-3808 Ph: (570) 825-6425 | Amanda Kathryn Gwiazdowski, LPC 20 N Laurel St, Hazleton, PA 18201-5948 Ph: (570) 825-6425 |
Mr. Neil Francis Oberto, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 W Walnut St, Hazleton, PA 18201 Phone: 570-455-1521 Fax: 570-455-2707 | |
Mr. Matthew Thomas Walter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 E Broad St, Hazleton, PA 18201 Phone: 570-455-6385 | |
Kimberly Franks, LPC Counselor Medicare: Medicare Enrolled Practice Location: 20 N Laurel St # A, Hazleton, PA 18201 Phone: 570-497-4282 Fax: 570-861-8313 | |
Kathleen Tito, Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 W Broad St, Hazleton, PA 18201 Phone: 570-455-9902 | |
Kristie Scheib, LPC Counselor Medicare: Medicare Enrolled Practice Location: 223 W Broad St, Hazleton, PA 18201 Phone: 570-455-9902 | |
Joshua Gurin, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 223 W Broad St, Hazleton, PA 18201 Phone: 570-455-9902 | |
Miss Leanne C Hardy, MA NCC LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 214 W Walnut St, Hazleton, PA 18201 Phone: 570-455-1521 Fax: 570-455-2707 |