Provider Demographics
NPI:1205008422
Name:SCHUSTER, MARISA LYNNE (LPC, NCC, BC-TMH)
Entity Type:Individual
Prefix:MS
First Name:MARISA
Middle Name:LYNNE
Last Name:SCHUSTER
Suffix:
Gender:F
Credentials:LPC, NCC, BC-TMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 IVY RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15905-1320
Mailing Address - Country:US
Mailing Address - Phone:814-241-1754
Mailing Address - Fax:
Practice Address - Street 1:12 ENTRANCE DR
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15905-1202
Practice Address - Country:US
Practice Address - Phone:814-241-1754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-27
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor