Fauble, Mandy Ann
Fauble, Mandy Ann is an individual health care provider with primary practice located at 1330 W 26Th St , Erie PA 16508-1402. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fauble, Mandy Ann can be contacted via phone (814) 459-9300.Contact Information
Primary practice address
1330 W 26Th St
Erie PA 16508-1402
Phone: (814) 459-9300
Fax: (814) 454-7780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW014906 | Pennsylvania |
Profile Details
| NPI number | 1134100258 |
|---|---|
| LBN Legal business name | Fauble, Mandy Ann |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Mar 15th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134100258 | NPPES |
| Pennsylvania | Other | 001679712 | HIGHMARK |
| Pennsylvania | Other | 467400 | HIGHMARK |
| Pennsylvania | Other | 530903-000 | HIGHMARK |
| Pennsylvania | Other | 7717663 | HIGHMARK |
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