Provider Demographics
NPI:1023366101
Name:STRIBLING, BEVERLY LOUISE
Entity Type:Individual
Prefix:MS
First Name:BEVERLY
Middle Name:LOUISE
Last Name:STRIBLING
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BEVERLY
Other - Middle Name:LOUISE
Other - Last Name:JORDAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5504 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3513
Mailing Address - Country:US
Mailing Address - Phone:412-441-9355
Mailing Address - Fax:
Practice Address - Street 1:5504 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3513
Practice Address - Country:US
Practice Address - Phone:412-441-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005975101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional