Healthcare Provider Details

I. General information

NPI: 1932064136
Provider Name (Legal Business Name): MICHELLE DOYLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 SMITH DR STE 3
CRANBERRY TOWNSHIP PA
16066-4131
US

IV. Provider business mailing address

3513 38TH ST
NEW BRIGHTON PA
15066-2815
US

V. Phone/Fax

Practice location:
  • Phone: 724-779-2010
  • Fax:
Mailing address:
  • Phone: 724-513-8553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: