Provider Demographics
NPI:1861636797
Name:BILLER, THERESA
Entity Type:Individual
Prefix:MS
First Name:THERESA
Middle Name:
Last Name:BILLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2578 KINGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15683-2455
Mailing Address - Country:US
Mailing Address - Phone:724-887-4030
Mailing Address - Fax:724-887-4113
Practice Address - Street 1:2578 KINGVIEW RD
Practice Address - Street 2:
Practice Address - City:SCOTTDALE
Practice Address - State:PA
Practice Address - Zip Code:15683-2455
Practice Address - Country:US
Practice Address - Phone:724-887-4030
Practice Address - Fax:724-887-4113
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional