Healthcare Provider Details

I. General information

NPI: 1023921657
Provider Name (Legal Business Name): KATELYN ROSE BUCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 BOYCE PLAZA RD STE 215
PITTSBURGH PA
15241-3949
US

IV. Provider business mailing address

3007 SIR CHARLES DR
MC DONALD PA
15057-4840
US

V. Phone/Fax

Practice location:
  • Phone: 412-945-0692
  • Fax: 412-774-2627
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002894
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: