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1366007882 NPI number — REBEKAH GRACE BERNA LPC, ATR-BC

NPI Number: 1366007882
Health Care Provider/Practitioner: REBEKAH GRACE BERNA LPC, ATR-BC

Information about “1366007882” NPI (REBEKAH GRACE BERNA LPC, ATR-BC) exists in 1366007882 in HTML format HTML  |  1366007882 in plain Text format TXT  |  1366007882 in PDF (Portable Document Format) PDF  |  1366007882 in an XML format XML  formats.

NPI Number : 1366007882 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366007882",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BERNA",
    "FirstName": "REBEKAH",
    "MiddleName": "GRACE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LPC, ATR-BC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "509 ALLENBY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15218-1303",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "312-351-4425",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4810 LIBERTY AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PITTSBURGH",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "15224-2108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "412-578-9700",
    "PracticeLocationAddressFaxNumber": "412-578-9800",
    "EnumerationDate": "05/09/2019",
    "LastUpdateDate": "05/09/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "221700000X",
          "TaxonomyName": "Art Therapist",
          "LicenseNumber": "16-143",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "PC009899",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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