Provider Demographics
NPI:1235557703
Name:GOVRIN, SIGAL
Entity Type:Individual
Prefix:
First Name:SIGAL
Middle Name:
Last Name:GOVRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 BANCROFT WOODS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78729-7859
Mailing Address - Country:US
Mailing Address - Phone:512-553-1474
Mailing Address - Fax:
Practice Address - Street 1:100 NEW SALEM RD
Practice Address - Street 2:SUITE 116
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-8936
Practice Address - Country:US
Practice Address - Phone:724-443-7072
Practice Address - Fax:724-437-6415
Is Sole Proprietor?:No
Enumeration Date:2014-04-02
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health