Provider Demographics
NPI:1700157765
Name:MACHAMER-PEECHATKA, PAMELA JANE (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JANE
Last Name:MACHAMER-PEECHATKA
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1808 COLONIAL VILLAGE LN
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6745
Mailing Address - Country:US
Mailing Address - Phone:717-391-0172
Mailing Address - Fax:717-391-7771
Practice Address - Street 1:1808 COLONIAL VILLAGE LN
Practice Address - Street 2:SUITE 103
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6745
Practice Address - Country:US
Practice Address - Phone:717-391-0172
Practice Address - Fax:717-391-7771
Is Sole Proprietor?:No
Enumeration Date:2012-01-23
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional