MEDICARE: IVY BATTAGLIA LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1366223422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVY BATTAGLIA LPC

Provider Business Mailing Address
First Line	:	809 BINGHAM ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-1009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	809 BINGHAM ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15203-1009
Country	:	US
Telephone Number	:	412-380-0100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	10/13/2023

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