Provider Demographics
NPI:1407910011
Name:WATESKA, APRIL L (MSED, NCC, LPC)
Entity Type:Individual
Prefix:MS
First Name:APRIL
Middle Name:L
Last Name:WATESKA
Suffix:
Gender:F
Credentials:MSED, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 LEO ST
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4489
Mailing Address - Country:US
Mailing Address - Phone:724-864-6101
Mailing Address - Fax:
Practice Address - Street 1:1386 OLD FREEPORT RD STE 2B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3115
Practice Address - Country:US
Practice Address - Phone:412-963-1457
Practice Address - Fax:412-963-1458
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004296101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1900392OtherHIGHMARK PROVIDER NUMBER