Provider Demographics
NPI:1891585105
Name:DUBENSKY, MARTHA S
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:S
Last Name:DUBENSKY
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 CHIPPY COLE RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-6532
Mailing Address - Country:US
Mailing Address - Phone:570-228-1061
Mailing Address - Fax:
Practice Address - Street 1:314 FOSTER HILL RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-6531
Practice Address - Country:US
Practice Address - Phone:570-409-1140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-09
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013430101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional