Basic Information
| Provider Information | |||||||||
| NPI: | 1124635115 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SZUCHY | ||||||||
| FirstName: | JENNA | ||||||||
| MiddleName: | LYNN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5027 CYPRESS CT | ||||||||
| Address2: | |||||||||
| City: | OAKDALE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 150711432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123281156 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4 ALLEGHENY CTR FL 8 | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152125255 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4123304000 | ||||||||
| FaxNumber: | 4123304366 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/24/2020 | ||||||||
| LastUpdateDate: | 07/19/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | PC012708 | PA | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.