Basic Information
| Provider Information | |||||||||
| NPI: | 1003156241 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | OSWALT | ||||||||
| FirstName: | APRIL | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 213 HIGHLAND AVE | ||||||||
| Address2: | |||||||||
| City: | PATTON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 166681132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8142058901 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4116 CRAWFORD AVE | ||||||||
| Address2: | |||||||||
| City: | NORTHERN CAMBRIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157141340 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8147613017 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2013 | ||||||||
| LastUpdateDate: | 03/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC006788 | PA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.