Provider Demographics
NPI:1437408952
Name:SEGER, JEREMY (LPC)
Entity Type:Individual
Prefix:
First Name:JEREMY
Middle Name:
Last Name:SEGER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 STRATFORD AVE APT 2F
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1156
Mailing Address - Country:US
Mailing Address - Phone:724-988-8241
Mailing Address - Fax:
Practice Address - Street 1:139 WABASH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-5403
Practice Address - Country:US
Practice Address - Phone:412-894-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2012-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006482101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional