Provider Demographics
NPI:1548593882
Name:ABBOTT, LORI A (LPC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:A
Last Name:ABBOTT
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 1:7501 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15208-2560
Mailing Address - Country:US
Mailing Address - Phone:412-243-7535
Mailing Address - Fax:412-243-8711
Practice Address - Street 1:7501 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15208-2560
Practice Address - Country:US
Practice Address - Phone:412-243-7535
Practice Address - Fax:412-243-8711
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-17
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005239101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional