Provider Demographics
NPI:1205197308
Name:QUINN, STEPHANIE NICOLE (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:NICOLE
Last Name:QUINN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:NICOLE
Other - Last Name:BALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:225 MARGARET AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-3081
Mailing Address - Country:US
Mailing Address - Phone:724-522-5456
Mailing Address - Fax:
Practice Address - Street 1:225 MARGARET AVE STE 3
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-3081
Practice Address - Country:US
Practice Address - Phone:724-522-5456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health