Healthcare Provider Details

I. General information

NPI: 1821920125
Provider Name (Legal Business Name): MARY GASS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11279 PERRY HWY
WEXFORD PA
15090-9381
US

IV. Provider business mailing address

227 LINNVIEW AVE
PITTSBURGH PA
15210-3719
US

V. Phone/Fax

Practice location:
  • Phone: 724-934-4130
  • Fax:
Mailing address:
  • Phone: 878-227-4659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: