Provider Demographics
NPI:1609194018
Name:SEGERDAHL, REBECCA HANNA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:HANNA
Last Name:SEGERDAHL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:BECKY
Other - Middle Name:HANNA
Other - Last Name:SEGERDAHL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:460 VALLEY BROOK ROAD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:MCMURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3340
Mailing Address - Country:US
Mailing Address - Phone:724-299-3088
Mailing Address - Fax:724-299-3583
Practice Address - Street 1:460 VALLEY BROOK ROAD
Practice Address - Street 2:SUITE 1B
Practice Address - City:MCMURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-3340
Practice Address - Country:US
Practice Address - Phone:724-299-3088
Practice Address - Fax:724-299-3583
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional