| Doctor Name: | DENISE TOMSAK |
| NPI Number: | 1023294360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CAC |
| License Number: | |
| Business Practice Address: | 562 Wyoming Ave Kingston, PA - 187043721 |
| Business Phone Number: | 5705523700 |
| Business Fax Number: | 5705523705 |
| Mailing Address: | 46 Lincoln St, EXETER |
| State: | PA |
| Postal Code: | 186432654 |
| Phone Number: | 5709910111 |
| Fax Number: | |
| NPI Enumeration Date: | 01/17/2008 |
| NPI Last Update Date: | 01/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |