Provider Demographics
NPI:1275938169
Name:ISCRUPE, DOREEN (LPC)
Entity Type:Individual
Prefix:
First Name:DOREEN
Middle Name:
Last Name:ISCRUPE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 WILLIAM PITT WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1361
Mailing Address - Country:US
Mailing Address - Phone:412-820-2050
Mailing Address - Fax:412-820-2060
Practice Address - Street 1:211 HUFF AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5382
Practice Address - Country:US
Practice Address - Phone:724-552-4978
Practice Address - Fax:724-552-4979
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007842101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional