Provider Demographics
NPI:1952707192
Name:MEHALIK, ROBERT (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:
Last Name:MEHALIK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1202 6TH ST
Mailing Address - Street 2:
Mailing Address - City:HILLER
Mailing Address - State:PA
Mailing Address - Zip Code:15444-9716
Mailing Address - Country:US
Mailing Address - Phone:724-322-2830
Mailing Address - Fax:
Practice Address - Street 1:4160 WASHINGTON RD STE 201
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2533
Practice Address - Country:US
Practice Address - Phone:724-322-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007242101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional