Provider Demographics
NPI:1659821908
Name:FORREST, ANNE AISHA (MSED)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:AISHA
Last Name:FORREST
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:MS
Other - First Name:ANNE
Other - Middle Name:LAHTELA
Other - Last Name:MORTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 WILLOW RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8402
Mailing Address - Country:US
Mailing Address - Phone:412-400-7159
Mailing Address - Fax:
Practice Address - Street 1:5301 BUTLER ST STE 100
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2658
Practice Address - Country:US
Practice Address - Phone:412-441-9786
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health