MEDICARE: SHOSHANA THALER THALER

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	101YP2500X	Professional Counselor	PC019616	PA

General Provider Information

NPI Number	:	1952263600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHOSHANA THALER THALER

Provider Business Mailing Address
First Line	:	4012 WINDSOR ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2653
Country	:	US
Telephone Number	:	916-396-9507
Fax Number	:

Provider Business Practice Location Address
First Line	:	4012 WINDSOR ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2653
Country	:	US
Telephone Number	:	916-396-9507
Fax Number	:

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

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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Directions to “ SHOSHANA THALER THALER ” Practice Location

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