Healthcare Provider Details

I. General information

NPI: 1861003311
Provider Name (Legal Business Name): MARLENE VERNETTE STREGE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 LOOP ST STE 3
PITTSBURGH PA
15215-3248
US

IV. Provider business mailing address

926 GUYASUTA LN
PITTSBURGH PA
15215-1626
US

V. Phone/Fax

Practice location:
  • Phone: 760-803-9704
  • Fax:
Mailing address:
  • Phone: 760-803-9704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS020811
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: