Provider Demographics
NPI:1699142265
Name:GREFE MCCANN, CHELSEA (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:GREFE MCCANN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 4TH AVE APT 901
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2008
Mailing Address - Country:US
Mailing Address - Phone:908-797-7981
Mailing Address - Fax:
Practice Address - Street 1:33 TERMINAL WAY STE 525A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219
Practice Address - Country:US
Practice Address - Phone:908-797-7981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-30
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019880103T00000X
PAPS018277103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty