PAUL DERYN SANDUSKY B.A., CCDP - NPI 1164787693

Q: What is Paul Sandusky's NPI number?

The NPI number for Paul Sandusky is 1164787693. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Q: What is Paul Sandusky's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Sandusky was last updated on July 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Paul Deryn Sandusky B.a., Ccdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL DERYN SANDUSKY B.A., CCDP (NPI 1164787693) is an individual counselor in Pittsburgh, Pennsylvania and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1164787693

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NamePAUL DERYN SANDUSKYCredential: B.A., CCDP

Location Address5231 PENN AVE, 2ND FLOORPittsburgh, PA 15224-1768

Mailing Address5231 Penn Ave, 2nd FloorPittsburgh, PA 15224-1768 · (412) 721-0690 · Fax (412) 688-9191

Phone(412) 721-0690

Fax(412) 688-9191

Sole ProprietorYes

Enumeration DateJuly 10, 2012

✔ NPI 1164787693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

5231 PENN AVE, Pittsburgh, PA 15224

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