Provider Demographics
NPI:1730410507
Name:SEYLER - BERKEBILE MARRIAGE & FAMILY THERAPY
Entity type:Organization
Organization Name:SEYLER - BERKEBILE MARRIAGE & FAMILY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARRIAGE & FAMILY THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:BERKEBILE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:724-932-1700
Mailing Address - Street 1:1215 N GREENGATE RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-4081
Mailing Address - Country:US
Mailing Address - Phone:724-832-1700
Mailing Address - Fax:724-853-6704
Practice Address - Street 1:1215 N GREENGATE RD
Practice Address - Street 2:STE D
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-4081
Practice Address - Country:US
Practice Address - Phone:724-832-1700
Practice Address - Fax:724-853-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty