Healthcare Provider Details

I. General information

NPI: 1033040845
Provider Name (Legal Business Name): CARSON LEIGH STOPPERICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9855 RINAMAN RD
WEXFORD PA
15090-9226
US

IV. Provider business mailing address

66 PIUS ST APT 202
PITTSBURGH PA
15203-1651
US

V. Phone/Fax

Practice location:
  • Phone: 724-799-8558
  • Fax:
Mailing address:
  • Phone: 724-249-9919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC002428
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: