MEDICARE: DR. ANDREA BETH SCHACHNER PSY.D.; NCSP

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	103TS0200X	School Psychologist	PS018652	PA

General Provider Information

NPI Number	:	1942775994
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA BETH SCHACHNER PSY.D.; NCSP

Provider Business Mailing Address
First Line	:	4045 WINDSOR ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2652
Country	:	US
Telephone Number	:	412-215-9422
Fax Number	:

Provider Business Practice Location Address
First Line	:	521 ROUTE 228
Second Line	:
City	:	MARS
State	:	PA
Zip	:	16046-3150
Country	:	US
Telephone Number	:	724-625-3141
Fax Number	:

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

Provider Enumeration Date	:	10/05/2018
Last Update Date	:	10/05/2018

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