Provider Demographics
NPI:1427728146
Name:STEWART, SEANA BANDI (PHD)
Entity type:Individual
Prefix:DR
First Name:SEANA
Middle Name:BANDI
Last Name:STEWART
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:SEANA
Other - Middle Name:LEE
Other - Last Name:BANDI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:1604 EDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2104
Mailing Address - Country:US
Mailing Address - Phone:412-217-7265
Mailing Address - Fax:
Practice Address - Street 1:102 BROADWAY ST STE 404
Practice Address - Street 2:
Practice Address - City:CARNEGIE
Practice Address - State:PA
Practice Address - Zip Code:15106-2486
Practice Address - Country:US
Practice Address - Phone:412-329-7778
Practice Address - Fax:412-262-1555
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS019344103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool