Healthcare Provider Details

I. General information

NPI: 1083016729
Provider Name (Legal Business Name): CRAIG STEPHEN EHRHARDT L.P.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2014
Last Update Date: 02/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 E MAIN ST
CARNEGIE PA
15106-2080
US

IV. Provider business mailing address

519 E MAIN ST
CARNEGIE PA
15106-2080
US

V. Phone/Fax

Practice location:
  • Phone: 412-294-8704
  • Fax: 724-312-0316
Mailing address:
  • Phone: 412-294-8704
  • Fax: 724-312-0316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberPC007697
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC007697
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007697
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: