Provider Demographics
NPI:1558738823
Name:BUBENHEIM, TRISHA (MSED)
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:
Last Name:BUBENHEIM
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 S 22ND ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2143
Mailing Address - Country:US
Mailing Address - Phone:412-381-2100
Mailing Address - Fax:
Practice Address - Street 1:70 S 22ND ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2143
Practice Address - Country:US
Practice Address - Phone:412-381-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health