MEDICARE: JOSHUA ALLEN SCHMADER MA

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	101YP2500X	Professional Counselor	PC015168	PA

General Provider Information

NPI Number	:	1174132609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA ALLEN SCHMADER MA

Provider Business Mailing Address
First Line	:	406 LARCHMONT CT
Second Line	:
City	:	CORAOPOLIS
State	:	PA
Zip	:	15108-9100
Country	:	US
Telephone Number	:	412-735-2003
Fax Number	:

Provider Business Practice Location Address
First Line	:	5840 ELLSWORTH AVE STE 104
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-1727
Country	:	US
Telephone Number	:	412-735-2003
Fax Number	:

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

Provider Enumeration Date	:	07/30/2020
Last Update Date	:	03/20/2023

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