Healthcare Provider Details

I. General information

NPI: 1386606614
Provider Name (Legal Business Name): SAMUEL K SCHACHNER PHD, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2006
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 N CRAIG ST SUITE 208
PITTSBURGH PA
15213-2744
US

IV. Provider business mailing address

128 N CRAIG ST SUITE 208
PITTSBURGH PA
15213-2744
US

V. Phone/Fax

Practice location:
  • Phone: 412-683-1000
  • Fax: 412-683-1084
Mailing address:
  • Phone: 412-683-1000
  • Fax: 412-683-1084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC004123
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPS016724
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: