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NPI Code Detail

MEDICARE: SAMANTHA BOHR LPC

MEDICARE: SAMANTHA BOHR LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorPC013549PA
2106H00000XMarriage & Family TherapistPC013549PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114693058
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BOHR LPC
Provider Business Mailing Address
First Line : 503 ROSECLIFF RD
Second Line :
City : WEXFORD
State : PA
Zip : 15090-1513
Country : US
Telephone Number : 412-297-1843
Fax Number :
Provider Business Practice Location Address
First Line : 1010 BRODHEAD RD
Second Line :
City : MOON TOWNSHIP
State : PA
Zip : 15108-2322
Country : US
Telephone Number : 412-339-1782
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2021
Last Update Date : 10/02/2025

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Directions to “ SAMANTHA BOHR LPC” Practice Location

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