Provider Demographics
NPI:1487316667
Name:SATIRA, DEANNA JEAN
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:JEAN
Last Name:SATIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DEANNA
Other - Middle Name:JEAN
Other - Last Name:MERTZ, PAPE, JANICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1037 COMPASS CIR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2788
Mailing Address - Country:US
Mailing Address - Phone:724-834-1144
Mailing Address - Fax:724-834-2077
Practice Address - Street 1:1037 COMPASS CIR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2788
Practice Address - Country:US
Practice Address - Phone:724-834-1144
Practice Address - Fax:724-834-2077
Is Sole Proprietor?:No
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA7569101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)