Healthcare Provider Details

I. General information

NPI: 1215961149
Provider Name (Legal Business Name): MARTHA M YABLONSKY M.S.ED., LPC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5889 FORBES AVE SUITE 210
PITTSBURGH PA
15217-1660
US

IV. Provider business mailing address

5889 FORBES AVE SUITE 210
PITTSBURGH PA
15217-1660
US

V. Phone/Fax

Practice location:
  • Phone: 412-889-3388
  • Fax:
Mailing address:
  • Phone: 412-889-3388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004604
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: