=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437275740
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STEPHEN P SCHACHNER ASSOCIATES, P.A.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/21/2007
-----------------------------------------------------
Last Update Date | 09/24/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 128 N CRAIG ST SUITE 208
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15213-2744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-683-1000
-----------------------------------------------------
Fax | 412-683-1084
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 128 N CRAIG ST SUITE 208
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15213-2744
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-683-1000
-----------------------------------------------------
Fax | 412-683-1084
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, LICENSED PSYCHOLOGIST
-----------------------------------------------------
Name | DR. STEPHEN PAUL SCHACHNER
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 412-683-1000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number | PS-002053-L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------