Provider Demographics
NPI:1063865871
Name:OHM, DAVID A (MA, ATR-BC, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:OHM
Suffix:
Gender:M
Credentials:MA, ATR-BC, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2480 HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2531
Mailing Address - Country:US
Mailing Address - Phone:724-809-6341
Mailing Address - Fax:
Practice Address - Street 1:2490 S PARK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-3646
Practice Address - Country:US
Practice Address - Phone:412-833-1800
Practice Address - Fax:412-833-1818
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-16
Last Update Date:2016-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006223101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional