Provider Demographics
NPI:1720185622
Name:SCHLERNITZAUER, MARYANN (MSN,RN,CS)
Entity Type:Individual
Prefix:MS
First Name:MARYANN
Middle Name:
Last Name:SCHLERNITZAUER
Suffix:
Gender:F
Credentials:MSN,RN,CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 PARKVUE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2020
Mailing Address - Country:US
Mailing Address - Phone:412-953-1602
Mailing Address - Fax:412-884-2422
Practice Address - Street 1:4927 PARKVUE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2020
Practice Address - Country:US
Practice Address - Phone:412-953-1602
Practice Address - Fax:412-884-2422
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN268768L101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA215963OtherUPMC HEALTH PLAN
PA000922Medicare ID - Type Unspecified
PAS43567Medicare UPIN