Healthcare Provider Details

I. General information

NPI: 1265365944
Provider Name (Legal Business Name): DINAH MARCINIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 JACKS RUN RD STE 5
WHITE OAK PA
15131-2549
US

IV. Provider business mailing address

200 MARION AVE APT 2
PITTSBURGH PA
15221-4006
US

V. Phone/Fax

Practice location:
  • Phone: 412-254-3614
  • Fax:
Mailing address:
  • Phone: 412-254-3614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002393
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: