Provider Demographics
NPI:1134959133
Name:SEVER, RENAE (PHD)
Entity type:Individual
Prefix:
First Name:RENAE
Middle Name:
Last Name:SEVER
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 1:115 BLUEBIRD RD
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:PA
Mailing Address - Zip Code:15089-9509
Mailing Address - Country:US
Mailing Address - Phone:724-797-4287
Mailing Address - Fax:
Practice Address - Street 1:115 BLUEBIRD RD
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:PA
Practice Address - Zip Code:15089-9509
Practice Address - Country:US
Practice Address - Phone:724-797-4287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-05
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional