Provider Demographics
NPI:1376210682
Name:PIZZUTO, JENNIFER LEAH (LPC)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:LEAH
Last Name:PIZZUTO
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 1:1772 HARCOR DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-2452
Mailing Address - Country:US
Mailing Address - Phone:724-766-2138
Mailing Address - Fax:
Practice Address - Street 1:1772 HARCOR DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226-2452
Practice Address - Country:US
Practice Address - Phone:724-766-2138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013678101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional