Provider Demographics
NPI:1053415059
Name:GERSHANOK, DEBORAH E VALINS (PHD LCSW MPH)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:E VALINS
Last Name:GERSHANOK
Suffix:
Gender:F
Credentials:PHD LCSW MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6403 BEACON STREET
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217
Mailing Address - Country:US
Mailing Address - Phone:412-421-3873
Mailing Address - Fax:412-968-0527
Practice Address - Street 1:1326 FREEPORT RD
Practice Address - Street 2:STE 250 ALLEGHENY MENTAL HEALTH ASSOCIATES
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238
Practice Address - Country:US
Practice Address - Phone:412-967-5660
Practice Address - Fax:412-968-0527
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0149161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
099282Medicare ID - Type Unspecified