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NPI Code Detail

MEDICARE: JO ELLEN STEWART LPC

MEDICARE: JO ELLEN STEWART 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
1101YP2500XProfessional CounselorPC001324PA

General Provider Information

NPI Number : 1912992322
Entity Type Code : Individual
Provider Name (Legal Business Name) : JO ELLEN STEWART LPC
Provider Business Mailing Address
First Line : 500 WALNUT ST
Second Line : THIRD FLOOR
City : MCKEESPORT
State : PA
Zip : 15132-2801
Country : US
Telephone Number : 412-675-8530
Fax Number : 412-675-8533
Provider Business Practice Location Address
First Line : 331 SHAW AVE
Second Line :
City : MCKEESPORT
State : PA
Zip : 15132-2918
Country : US
Telephone Number : 412-675-8530
Fax Number : 412-367-5853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/08/2007

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Directions to “ JO ELLEN STEWART LPC” Practice Location

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