Provider Demographics
NPI:1598311375
Name:LITSCHGE, MARALEE YVONNE (LSW)
Entity Type:Individual
Prefix:
First Name:MARALEE
Middle Name:YVONNE
Last Name:LITSCHGE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:523 RAVINE ST
Mailing Address - Street 2:
Mailing Address - City:DRAVOSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15034-1012
Mailing Address - Country:US
Mailing Address - Phone:412-896-5140
Mailing Address - Fax:
Practice Address - Street 1:523 RAVINE ST
Practice Address - Street 2:
Practice Address - City:DRAVOSBURG
Practice Address - State:PA
Practice Address - Zip Code:15034-1012
Practice Address - Country:US
Practice Address - Phone:412-896-5140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-16
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW134719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health