Provider Demographics
NPI:1306192315
Name:WIER, STEPHANIE D (MS, LPC, NCC, BSL)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:D
Last Name:WIER
Suffix:
Gender:F
Credentials:MS, LPC, NCC, BSL
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:D
Other - Last Name:EVANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC, NCC, BSL
Mailing Address - Street 1:131 GREENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:PA
Mailing Address - Zip Code:15147-2942
Mailing Address - Country:US
Mailing Address - Phone:724-681-3144
Mailing Address - Fax:
Practice Address - Street 1:339 OLD HAYMAKER RD
Practice Address - Street 2:SUITE 1102
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1435
Practice Address - Country:US
Practice Address - Phone:412-824-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-27
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008185101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health