Provider Demographics
NPI:1578128047
Name:REGINELLA, VINCENT M (LPC)
Entity Type:Individual
Prefix:MR
First Name:VINCENT
Middle Name:M
Last Name:REGINELLA
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 N CRAIG ST STE 212
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2717
Mailing Address - Country:US
Mailing Address - Phone:412-716-3783
Mailing Address - Fax:
Practice Address - Street 1:160 N CRAIG ST STE 212
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2717
Practice Address - Country:US
Practice Address - Phone:412-716-3783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional