| Doctor Name: | JAY EDWARD CADWALLADER |
| NPI Number: | 1487661328 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NCC |
| License Number: | PC002906 |
| Business Practice Address: | 100 Northpointe Cir Suite 306 Seven Fields, PA - 160467851 |
| Business Phone Number: | 7247724848 |
| Business Fax Number: | 7247724888 |
| Mailing Address: | 8811 Breezewood Dr, PITTSBURGH |
| State: | PA |
| Postal Code: | 152374126 |
| Phone Number: | 4123669056 |
| Fax Number: | |
| NPI Enumeration Date: | 08/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC002906 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |