Healthcare Provider Details

I. General information

NPI: 1326146903
Provider Name (Legal Business Name): SARA LYNN WYSOCKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 PARK LN
PITTSBURGH PA
15275
US

IV. Provider business mailing address

798 MARKET ST
BEAVER PA
15009-3014
US

V. Phone/Fax

Practice location:
  • Phone: 888-244-6293
  • Fax:
Mailing address:
  • Phone: 724-622-7669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: