MEDICARE: MISS REBECCA ANNE LOEFFERT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	PC009478	PA
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1154714749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS REBECCA ANNE LOEFFERT

Provider Business Mailing Address
First Line	:	3501 FORBES AVE
Second Line	:	SUITE 705
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-3317
Country	:	US
Telephone Number	:	412-246-6337
Fax Number	:

Provider Business Practice Location Address
First Line	:	5877 COMMERCE ST STE 216
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-3835
Country	:	US
Telephone Number	:	412-661-1827
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2015
Last Update Date	:	05/02/2024

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