Provider Demographics
NPI:1306390752
Name:POPP, STEPHANIE ELENA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ELENA
Last Name:POPP
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4840 HARRISON ST
Mailing Address - Street 2:APT 206
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15201-2712
Mailing Address - Country:US
Mailing Address - Phone:412-478-1193
Mailing Address - Fax:
Practice Address - Street 1:110 NORTH BELLEFIELD AVENUE, 6TH FLOOR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213
Practice Address - Country:US
Practice Address - Phone:412-246-5222
Practice Address - Fax:412-246-5210
Is Sole Proprietor?:No
Enumeration Date:2016-08-14
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC008667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional