Provider Demographics
NPI:1144798331
Name:FIALLA, SHARYN (MA, NCC)
Entity Type:Individual
Prefix:
First Name:SHARYN
Middle Name:
Last Name:FIALLA
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 WOOD ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2818
Mailing Address - Country:US
Mailing Address - Phone:412-243-3401
Mailing Address - Fax:412-731-5025
Practice Address - Street 1:716 WOOD ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2818
Practice Address - Country:US
Practice Address - Phone:412-243-3401
Practice Address - Fax:412-731-5025
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health