Healthcare Provider Details

I. General information

NPI: 1508428517
Provider Name (Legal Business Name): ALYSSA ANN ROIG LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 07/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 ANDERSON ST STE 101
PITTSBURGH PA
15212-5803
US

IV. Provider business mailing address

127 ANDERSON ST STE 101
PITTSBURGH PA
15212-5803
US

V. Phone/Fax

Practice location:
  • Phone: 412-322-4151
  • Fax:
Mailing address:
  • Phone: 412-322-4151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC011349
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: