Provider Demographics
NPI:1033665443
Name:REHAVIA-HANAUER, DAFNA (PHD,ATR-BC,LPC)
Entity Type:Individual
Prefix:DR
First Name:DAFNA
Middle Name:
Last Name:REHAVIA-HANAUER
Suffix:
Gender:F
Credentials:PHD,ATR-BC,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6311 CROMBIE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2510
Mailing Address - Country:US
Mailing Address - Phone:412-427-1219
Mailing Address - Fax:
Practice Address - Street 1:6311 CROMBIE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2510
Practice Address - Country:US
Practice Address - Phone:412-427-1219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-27
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009095101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional