Healthcare Provider Details

I. General information

NPI: 1083231054
Provider Name (Legal Business Name): ANDREA SPEVETZ MS, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2020
Last Update Date: 12/29/2023
Certification Date: 12/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 STONEWOOD DR STE 110
WEXFORD PA
15090-8398
US

IV. Provider business mailing address

131 W FAIRVIEW AVE
PITTSBURGH PA
15237-4666
US

V. Phone/Fax

Practice location:
  • Phone: 724-747-1690
  • Fax: 412-763-1235
Mailing address:
  • Phone: 412-897-7668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC014682
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC014682
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: