Provider Demographics
NPI:1407319536
Name:BRISKI, REBECCA (MA, LPC, CADC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BRISKI
Suffix:
Gender:F
Credentials:MA, LPC, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BOSTWICK DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15229-1401
Mailing Address - Country:US
Mailing Address - Phone:724-831-6679
Mailing Address - Fax:
Practice Address - Street 1:20530 ROUTE 19 STE 4
Practice Address - Street 2:
Practice Address - City:CRANBERRY TWP
Practice Address - State:PA
Practice Address - Zip Code:16066-7518
Practice Address - Country:US
Practice Address - Phone:724-831-6679
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-06
Last Update Date:2019-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010142101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional