Healthcare Provider Details

I. General information

NPI: 1144507005
Provider Name (Legal Business Name): CHRISTINE ANN MRAZIK M.ED., L.PC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2011
Last Update Date: 11/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HALKET ST SUITE 0704
PITTSBURGH PA
15213-3108
US

IV. Provider business mailing address

300 HALKETT STREET CHRISTINE MRAZIK, M.ED., L.PC. SUITE 0704
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-641-1239
  • Fax: 412-641-2228
Mailing address:
  • Phone: 412-641-1239
  • Fax: 412-641-2228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC006112
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: