Healthcare Provider Details

I. General information

NPI: 1124635115
Provider Name (Legal Business Name): JENNA LYNN SZUCHY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 07/19/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ALLEGHENY CTR FL 8
PITTSBURGH PA
15212-5255
US

IV. Provider business mailing address

5027 CYPRESS CT
OAKDALE PA
15071-1432
US

V. Phone/Fax

Practice location:
  • Phone: 412-330-4000
  • Fax: 412-330-4366
Mailing address:
  • Phone: 412-328-1156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC012708
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: