Provider Demographics
NPI:1689473514
Name:KINTZ, SONJA L (LAPC)
Entity type:Individual
Prefix:
First Name:SONJA
Middle Name:L
Last Name:KINTZ
Suffix:
Gender:
Credentials:LAPC
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:
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:2025-03-12
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC001044101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health