Healthcare Provider Details

I. General information

NPI: 1740982909
Provider Name (Legal Business Name): JEREMY WALTER SEMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 COMMONWEALTH AVE
WEST MIFFLIN PA
15122-2310
US

IV. Provider business mailing address

812 GLENCAIRN ST
WEST MIFFLIN PA
15122-2011
US

V. Phone/Fax

Practice location:
  • Phone: 412-466-9131
  • Fax:
Mailing address:
  • Phone: 412-414-5922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: