Provider Demographics
NPI:1407181621
Name:BAYER, JENNIFER (MS, NCC, LPC,BCPC)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:BAYER
Suffix:
Gender:F
Credentials:MS, NCC, LPC,BCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W STATION SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-1196
Mailing Address - Country:US
Mailing Address - Phone:412-471-6270
Mailing Address - Fax:
Practice Address - Street 1:101 W. STATION SQUARE DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:412-471-6274
Practice Address - Fax:412-471-6270
Is Sole Proprietor?:No
Enumeration Date:2009-10-06
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health