Healthcare Provider Details

I. General information

NPI: 1336868231
Provider Name (Legal Business Name): DOUGLAS RYAN HARSHBERGER MA, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2022
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N NEVILLE ST STE 102
PITTSBURGH PA
15213-2853
US

IV. Provider business mailing address

540 N NEVILLE ST STE 102
PITTSBURGH PA
15213-2853
US

V. Phone/Fax

Practice location:
  • Phone: 724-764-4979
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC020188
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: