Provider Demographics
NPI:1114150166
Name:ELMER, MAUREEN M (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:M
Last Name:ELMER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:M
Other - Last Name:GIDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LPC
Mailing Address - Street 1:203 FAR VIEW LN
Mailing Address - Street 2:
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-1701
Mailing Address - Country:US
Mailing Address - Phone:724-502-6082
Mailing Address - Fax:
Practice Address - Street 1:4074 MOUNT ROYAL BLVD STE 103
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-2995
Practice Address - Country:US
Practice Address - Phone:724-502-6082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)