Doctor Name: | AMY MARIE BANKOVIC |
NPI Number: | 1831396910 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | PC004621 |
Business Practice Address: | 635 Maple Ave Du Bois, PA - 158012376 |
Business Phone Number: | 8143756379 |
Business Fax Number: | |
Mailing Address: | 100 Hospital Ave, DU BOIS |
State: | PA |
Postal Code: | 158011440 |
Phone Number: | 8143756340 |
Fax Number: | 8143722560 |
NPI Enumeration Date: | 07/02/2007 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | PC004621 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |