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NPI Code Detail

MEDICARE: COLEEN R HENKELMANN LMFT

MEDICARE:   COLEEN R HENKELMANN  LMFT
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
1106H00000XMarriage & Family TherapistMF000463PA

General Provider Information

NPI Number : 1245213255
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLEEN R HENKELMANN LMFT
Provider Business Mailing Address
First Line : 1200 REEDSDALE ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15233-2109
Country : US
Telephone Number : 412-323-4543
Fax Number : 412-323-4507
Provider Business Practice Location Address
First Line : 1200 REEDSDALE ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15233-2109
Country : US
Telephone Number : 412-323-8026
Fax Number : 412-323-4507
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 07/09/2007

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Directions to “ COLEEN R HENKELMANN LMFT” Practice Location

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