Healthcare Provider Details

I. General information

NPI: 1144749573
Provider Name (Legal Business Name): MICHAEL LLOYD ANDERSON LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CEDAR BLVD STE 306
PITTSBURGH PA
15228-1330
US

IV. Provider business mailing address

20 CEDAR BLVD STE 306
PITTSBURGH PA
15228-1330
US

V. Phone/Fax

Practice location:
  • Phone: 412-405-6089
  • Fax: 412-219-5959
Mailing address:
  • Phone: 412-405-6089
  • Fax: 412-219-5959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC012043
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: