Provider Demographics
NPI:1548511645
Name:ROBERTS, MARY ANN CLAIRE (M ED)
Entity type:Individual
Prefix:MS
First Name:MARY ANN
Middle Name:CLAIRE
Last Name:ROBERTS
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4064 STATE ROUTE 51 N
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-3835
Mailing Address - Country:US
Mailing Address - Phone:412-860-6642
Mailing Address - Fax:
Practice Address - Street 1:491 E 8TH AVE
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120-1901
Practice Address - Country:US
Practice Address - Phone:412-654-3179
Practice Address - Fax:412-464-2105
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional