Provider Demographics
NPI:1528763935
Name:RUGARBER, LISA (LPC)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:RUGARBER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 CORAL LANE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19055
Mailing Address - Country:US
Mailing Address - Phone:215-421-9363
Mailing Address - Fax:
Practice Address - Street 1:47 CORAL LANE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19055
Practice Address - Country:US
Practice Address - Phone:215-421-9363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015368101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health