Provider Demographics
NPI:1245492008
Name:SALLADE, DIANE CHRISTINE (LPC)
Entity type:Individual
Prefix:MS
First Name:DIANE
Middle Name:CHRISTINE
Last Name:SALLADE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:DIANE
Other - Middle Name:
Other - Last Name:ROBLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:8500 BROOKTREE RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9287
Mailing Address - Country:US
Mailing Address - Phone:724-934-3905
Mailing Address - Fax:724-934-3906
Practice Address - Street 1:8500 BROOKTREE RD
Practice Address - Street 2:SUITE 304
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9287
Practice Address - Country:US
Practice Address - Phone:724-934-3905
Practice Address - Fax:724-934-3906
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004847101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional