Healthcare Provider Details

I. General information

NPI: 1700429107
Provider Name (Legal Business Name): VALERIE PUSATERI LPC, ATR-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2019
Last Update Date: 10/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 S NEGLEY AVE
PITTSBURGH PA
15206-3522
US

IV. Provider business mailing address

255 S NEGLEY AVE
PITTSBURGH PA
15206-3522
US

V. Phone/Fax

Practice location:
  • Phone: 412-365-3827
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number17-309
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC011103
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: