Healthcare Provider Details

I. General information

NPI: 1154927796
Provider Name (Legal Business Name): ELIZABETH TURNER RYCHCIK LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

666 WASHINGTON RD
PITTSBURGH PA
15228-1913
US

IV. Provider business mailing address

226 LYNN HAVEN DR
PITTSBURGH PA
15228-1821
US

V. Phone/Fax

Practice location:
  • Phone: 412-561-5405
  • Fax:
Mailing address:
  • Phone: 412-977-4128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC012608
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: