Provider Demographics
NPI:1851712350
Name:SICKELS, SIOBHAN CHERITH (MA)
Entity Type:Individual
Prefix:MISS
First Name:SIOBHAN
Middle Name:CHERITH
Last Name:SICKELS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 47TH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2928
Mailing Address - Country:US
Mailing Address - Phone:724-831-6550
Mailing Address - Fax:
Practice Address - Street 1:170 47TH ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2928
Practice Address - Country:US
Practice Address - Phone:724-831-6550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health