Provider Demographics
NPI:1679996359
Name:WASSELL, LIANNE (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:LIANNE
Middle Name:
Last Name:WASSELL
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15223-2148
Mailing Address - Country:US
Mailing Address - Phone:412-805-0600
Mailing Address - Fax:
Practice Address - Street 1:1200 ASHWOOD DRIVE
Practice Address - Street 2:SUITE 1201
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317
Practice Address - Country:US
Practice Address - Phone:724-884-0466
Practice Address - Fax:724-649-0039
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2017-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC007316101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health