Provider Demographics
NPI:1619282142
Name:GUNTHER-MAHLER, ALICE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:
Last Name:GUNTHER-MAHLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ALICE
Other - Middle Name:J
Other - Last Name:MAHLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2304 JANE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2362
Mailing Address - Country:US
Mailing Address - Phone:412-390-3804
Mailing Address - Fax:412-431-8124
Practice Address - Street 1:2304 JANE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2362
Practice Address - Country:US
Practice Address - Phone:412-390-3804
Practice Address - Fax:412-431-8124
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0125381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical