Provider Demographics
NPI:1093904146
Name:MEEHLEIB, DEBRA ANN (BA)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:MEEHLEIB
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:ANN
Other - Last Name:MOTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:606 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-2911
Mailing Address - Country:US
Mailing Address - Phone:412-675-8300
Mailing Address - Fax:412-896-4956
Practice Address - Street 1:606 LOCUST ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-2911
Practice Address - Country:US
Practice Address - Phone:412-675-8300
Practice Address - Fax:412-896-4956
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health