MEDICARE: MRS. KATHERINE ROBB SEWALL LPC, MS

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
1	101Y00000X	Counselor
2	101YP2500X	Professional Counselor	PC009883	PA

General Provider Information

NPI Number	:	1306284088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE ROBB SEWALL LPC, MS

Provider Business Mailing Address
First Line	:	5544 COLUMBO ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-2820
Country	:	US
Telephone Number	:	412-566-7674
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 N NEGLEY AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-1560
Country	:	US
Telephone Number	:	412-566-7674
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2013
Last Update Date	:	04/08/2019

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