Provider Demographics
NPI:1538730627
Name:PYTEL, KELLIE FORZIAT (PHD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:KELLIE
Middle Name:FORZIAT
Last Name:PYTEL
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 BONAIR DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-9376
Mailing Address - Country:US
Mailing Address - Phone:814-571-4242
Mailing Address - Fax:
Practice Address - Street 1:1202 BONAIR DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-9376
Practice Address - Country:US
Practice Address - Phone:814-571-4242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health