Provider Demographics
NPI:1437747649
Name:EICKER, JUSTINE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:JUSTINE
Middle Name:
Last Name:EICKER
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2472 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2075
Mailing Address - Country:US
Mailing Address - Phone:412-496-4131
Mailing Address - Fax:
Practice Address - Street 1:510 3RD AVE FL 5
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-2107
Practice Address - Country:US
Practice Address - Phone:412-660-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor