Provider Demographics
NPI:1386606614
Name:SCHACHNER, SAMUEL K (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:K
Last Name:SCHACHNER
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N CRAIG ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2744
Mailing Address - Country:US
Mailing Address - Phone:412-683-1000
Mailing Address - Fax:412-683-1084
Practice Address - Street 1:128 N CRAIG ST
Practice Address - Street 2:SUITE 208
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2744
Practice Address - Country:US
Practice Address - Phone:412-683-1000
Practice Address - Fax:412-683-1084
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004123101YP2500X
PAPS016724103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional