Provider Demographics
NPI:1710197124
Name:MEDSGER, TAMMY LYNN (MSW, LCSW, BCD)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:LYNN
Last Name:MEDSGER
Suffix:
Gender:F
Credentials:MSW, LCSW, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 N DITHRIDGE ST
Mailing Address - Street 2:THE BRISTOL BUILDING
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2646
Mailing Address - Country:US
Mailing Address - Phone:412-901-7064
Mailing Address - Fax:412-622-7333
Practice Address - Street 1:161 N DITHRIDGE ST
Practice Address - Street 2:THE BRISTOL BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2646
Practice Address - Country:US
Practice Address - Phone:412-901-7064
Practice Address - Fax:412-622-7333
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0130241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical