Provider Demographics
NPI:1750488557
Name:SHREVE, ANDREA KAY (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:KAY
Last Name:SHREVE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 COMMERCIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ASPINWALL
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3024
Mailing Address - Country:US
Mailing Address - Phone:412-983-3357
Mailing Address - Fax:
Practice Address - Street 1:223 COMMERCIAL AVE
Practice Address - Street 2:
Practice Address - City:ASPINWALL
Practice Address - State:PA
Practice Address - Zip Code:15215-3024
Practice Address - Country:US
Practice Address - Phone:412-983-3357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016087103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical