Healthcare Provider Details

I. General information

NPI: 1881746840
Provider Name (Legal Business Name): AMY EVANS WEDNER M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 SHAW AVE 2ND FLOOR
MCKEESPORT PA
15132-2918
US

IV. Provider business mailing address

116 S PASADENA DR
PITTSBURGH PA
15215-1912
US

V. Phone/Fax

Practice location:
  • Phone: 412-664-1977
  • Fax: 412-675-1731
Mailing address:
  • Phone: 412-664-1977
  • Fax: 412-675-1731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: