Provider Demographics
NPI:1508196015
Name:DANNA, BRIAN W (MA)
Entity Type:Individual
Prefix:MR
First Name:BRIAN
Middle Name:W
Last Name:DANNA
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3121
Mailing Address - Country:US
Mailing Address - Phone:724-465-0369
Mailing Address - Fax:724-465-1081
Practice Address - Street 1:1380 ROUTE 286 HWY E
Practice Address - Street 2:SUITE 524
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-1461
Practice Address - Country:US
Practice Address - Phone:724-465-0369
Practice Address - Fax:724-465-1081
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-05
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty