Healthcare Provider Details

I. General information

NPI: 1427075217
Provider Name (Legal Business Name): HARRY S BINENKORB LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 SOUTH AVE
WILKINSBURG PA
15221-2940
US

IV. Provider business mailing address

7230 PRINCETON PL
PITTSBURGH PA
15218-2039
US

V. Phone/Fax

Practice location:
  • Phone: 412-731-9707
  • Fax:
Mailing address:
  • Phone: 412-244-3999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW015398
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: