Healthcare Provider Details

I. General information

NPI: 1558279810
Provider Name (Legal Business Name): HANNAH POLK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 N NEVILLE ST STE 102
PITTSBURGH PA
15213-2853
US

IV. Provider business mailing address

9855 NEUHART BLVD
WEXFORD PA
15090-9722
US

V. Phone/Fax

Practice location:
  • Phone: 412-475-8122
  • Fax:
Mailing address:
  • Phone: 412-508-4015
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002659
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: