Provider Demographics
NPI:1255446993
Name:HAVER, DENISE C (MSED, LPC)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:C
Last Name:HAVER
Suffix:
Gender:F
Credentials:MSED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 HIGHLAND PINES DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-2022
Mailing Address - Country:US
Mailing Address - Phone:412-651-6452
Mailing Address - Fax:
Practice Address - Street 1:8400 PERRY HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5235
Practice Address - Country:US
Practice Address - Phone:412-651-6452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004194101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019904070001Medicaid