Provider Demographics
NPI:1982863817
Name:SCALZITTI-SHEARER, TANYA M (MSED)
Entity Type:Individual
Prefix:MS
First Name:TANYA
Middle Name:M
Last Name:SCALZITTI-SHEARER
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 OLD HAYMAKER RD STE 209
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1684
Mailing Address - Country:US
Mailing Address - Phone:724-850-8118
Mailing Address - Fax:
Practice Address - Street 1:8 OLIVER RD STE 116
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2376
Practice Address - Country:US
Practice Address - Phone:724-438-3011
Practice Address - Fax:724-438-2727
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
PABH001881103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health