Provider Demographics
NPI:1225261167
Name:CHRISTNER, STEPHANIE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:CHRISTNER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:TATAREK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:1115 BAUGHMAN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-7379
Mailing Address - Country:US
Mailing Address - Phone:742-972-6507
Mailing Address - Fax:
Practice Address - Street 1:600 RUGH ST STE 200
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5630
Practice Address - Country:US
Practice Address - Phone:724-610-9117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF000574106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist