Provider Demographics
NPI:1184732893
Name:BRYCE, MARGUERITE M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:MARGUERITE
Middle Name:M
Last Name:BRYCE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414-416 ALLEGHENY RIVER BOULEVARD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1735
Mailing Address - Country:US
Mailing Address - Phone:412-828-8500
Mailing Address - Fax:412-828-1073
Practice Address - Street 1:414-416 ALLEGHENY RIVER BOULEVARD
Practice Address - Street 2:SUITE 202
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1735
Practice Address - Country:US
Practice Address - Phone:412-828-8500
Practice Address - Fax:412-828-1073
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW001399L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
633773OtherHIGHMARK BLUE CROSS
4410013OtherAETNA
633773Medicare ID - Type Unspecified