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NPI Code Detail

MEDICARE: MR. GARY J SADLER LCSW

MEDICARE: MR. GARY J SADLER LCSW
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
1101YM0800XMental Health CounselorCW021014PA

General Provider Information

NPI Number : 1740574888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY J SADLER LCSW
Provider Business Mailing Address
First Line : 5150 PENN AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15224-1626
Country : US
Telephone Number : 412-441-9786
Fax Number :
Provider Business Practice Location Address
First Line : 1789 S BRADDOCK AVE STE 410
Second Line :
City : PITTSBURGH
State : PA
Zip : 15218-1881
Country : US
Telephone Number : 412-247-2310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2011
Last Update Date : 03/01/2023

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