Provider Demographics
NPI:1174393847
Name:HUBER, SUMMER (LPC)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:HUBER
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 1:413 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:WEISSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:18235-2213
Mailing Address - Country:US
Mailing Address - Phone:610-379-9304
Mailing Address - Fax:
Practice Address - Street 1:413 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:WEISSPORT
Practice Address - State:PA
Practice Address - Zip Code:18235-2213
Practice Address - Country:US
Practice Address - Phone:610-379-9304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016527101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional