Healthcare Provider Details

I. General information

NPI: 1366867483
Provider Name (Legal Business Name): MAUREEN ANDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2014
Last Update Date: 02/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4160 WASHINGTON RD SUITE 209
MC MURRAY PA
15317-2533
US

IV. Provider business mailing address

228 GLENN AVE APT. B
CANONSBURG PA
15317-1031
US

V. Phone/Fax

Practice location:
  • Phone: 412-559-9152
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC007416
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: