Provider Demographics
NPI:1417596776
Name:TOMER, SAMANTHA (MED, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:TOMER
Suffix:
Gender:F
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6521 STEUBENVILLE PIKE # 1074
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-1005
Mailing Address - Country:US
Mailing Address - Phone:484-532-3344
Mailing Address - Fax:
Practice Address - Street 1:1468 CROATON XING
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29466-7515
Practice Address - Country:US
Practice Address - Phone:704-776-0498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional