Healthcare Provider Details

I. General information

NPI: 1225443054
Provider Name (Legal Business Name): CHRISTOPHER RYAN STEWART PHD, LP, LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2014
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 E HIGH ST STE 342
WAYNESBURG PA
15370-1870
US

IV. Provider business mailing address

4000 CLARK LN APT 4402
CORAOPOLIS PA
15108-9088
US

V. Phone/Fax

Practice location:
  • Phone: 724-618-4063
  • Fax:
Mailing address:
  • Phone: 717-723-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC009067
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS020791
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: