Provider Demographics
NPI:1083231054
Name:SPEVETZ, ANDREA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:SPEVETZ
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 W FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4666
Mailing Address - Country:US
Mailing Address - Phone:412-897-7668
Mailing Address - Fax:
Practice Address - Street 1:4001 STONEWOOD DR STE 110
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-8398
Practice Address - Country:US
Practice Address - Phone:724-747-1690
Practice Address - Fax:412-763-1235
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014682101YM0800X, 101YP2500X
251S00000X, 251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No251V00000XAgenciesVoluntary or Charitable