Provider Demographics
NPI:1063954311
Name:ADAMSON, CHAD DAVID (M ED)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:DAVID
Last Name:ADAMSON
Suffix:
Gender:M
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 ABERDEEN DR
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071-9324
Mailing Address - Country:US
Mailing Address - Phone:412-480-3344
Mailing Address - Fax:
Practice Address - Street 1:150 E MAIN ST
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2437
Practice Address - Country:US
Practice Address - Phone:412-429-1908
Practice Address - Fax:412-429-0800
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician