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NPI Code Detail

MEDICARE: STEVEN SCOTT RISNEAR L.P.C

MEDICARE: STEVEN SCOTT RISNEAR L.P.C
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 CounselorPC000157PA

General Provider Information

NPI Number : 1821029406
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN SCOTT RISNEAR L.P.C
Provider Business Mailing Address
First Line : 2106 BOXCARTOWN RD
Second Line :
City : JEANNETTE
State : PA
Zip : 15644-4615
Country : US
Telephone Number : 724-744-1975
Fax Number :
Provider Business Practice Location Address
First Line : 712 SOUTH AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15221-2940
Country : US
Telephone Number : 412-731-9707
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2006
Last Update Date : 07/08/2007

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