Healthcare Provider Details

I. General information

NPI: 1275645921
Provider Name (Legal Business Name): JANET L HOLLABAUGH LPC, CAC DIPLOMATE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1326 FREEPORT RD SUITE 250
PITTSBURGH PA
15238-3131
US

IV. Provider business mailing address

RR 1 BOX 346 346 WILSON ROAD
WORTHINGTON PA
16262-9503
US

V. Phone/Fax

Practice location:
  • Phone: 412-967-0610
  • Fax: 412-968-0527
Mailing address:
  • Phone: 724-545-1832
  • Fax: 724-545-1832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC002849
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: