Provider Demographics
NPI:1871696732
Name:CHRISTIAN-MICHAELS, STEPHEN (MA)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:
Last Name:CHRISTIAN-MICHAELS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5519 RALEIGH ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-1534
Mailing Address - Country:US
Mailing Address - Phone:412-820-2050
Mailing Address - Fax:412-820-2060
Practice Address - Street 1:3230 WILLIAM PITT WAY
Practice Address - Street 2:BUILDING A-3, 2ND FLOOR
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1361
Practice Address - Country:US
Practice Address - Phone:412-820-2050
Practice Address - Fax:412-820-2060
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW011419L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker