Healthcare Provider Details

I. General information

NPI: 1972408102
Provider Name (Legal Business Name): MATTHEW ROZYCKI M.S.ED, LAPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 RIDGE AVE # 1
LATROBE PA
15650-1926
US

IV. Provider business mailing address

6909 STANDISH ST
PITTSBURGH PA
15206-1135
US

V. Phone/Fax

Practice location:
  • Phone: 412-775-3837
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPC002951
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: