Provider Demographics
NPI:1851152987
Name:NEW-EDSON, REBECCA FRANCES (PHD, LPC, REV)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:FRANCES
Last Name:NEW-EDSON
Suffix:
Gender:F
Credentials:PHD, LPC, REV
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3154
Mailing Address - Country:US
Mailing Address - Phone:724-799-5751
Mailing Address - Fax:
Practice Address - Street 1:204 MEADOWBROOK DR
Practice Address - Street 2:
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-3154
Practice Address - Country:US
Practice Address - Phone:724-799-5751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401005528101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health