Provider Demographics
NPI:1255328944
Name:SEGER-JADZAK, DEBRA AMANDA (M ED)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:AMANDA
Last Name:SEGER-JADZAK
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:MRS
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:SEGER-JADZAK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:M ED
Mailing Address - Street 1:793 OLD ROUTE 119 HWY N
Mailing Address - Street 2:INDIANA
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-1372
Mailing Address - Country:US
Mailing Address - Phone:724-465-5576
Mailing Address - Fax:724-463-3262
Practice Address - Street 1:793 OLD ROUTE 119 HWY N
Practice Address - Street 2:INDIANA
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1372
Practice Address - Country:US
Practice Address - Phone:724-465-5576
Practice Address - Fax:724-463-3262
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health