Provider Demographics
NPI:1366676868
Name:VILLBRANDT, STEVEN KYLE (MS)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:KYLE
Last Name:VILLBRANDT
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2048 SILVER LN
Mailing Address - Street 2:
Mailing Address - City:WILLOW STREET
Mailing Address - State:PA
Mailing Address - Zip Code:17584-9729
Mailing Address - Country:US
Mailing Address - Phone:717-625-0025
Mailing Address - Fax:717-625-0009
Practice Address - Street 1:100 HIGHLANDS DR STE 205
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7692
Practice Address - Country:US
Practice Address - Phone:717-625-0025
Practice Address - Fax:717-625-0009
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional