Provider Demographics
NPI:1760072045
Name:RODRIGUEZ-RANSOM, GLORIA J (MA,NCC,LPC)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:J
Last Name:RODRIGUEZ-RANSOM
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:PO BOX 2124
Mailing Address - Street 2:
Mailing Address - City:LOWER BURRELL
Mailing Address - State:PA
Mailing Address - Zip Code:15068-1524
Mailing Address - Country:US
Mailing Address - Phone:412-639-9570
Mailing Address - Fax:724-704-8164
Practice Address - Street 1:733 N HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2573
Practice Address - Country:US
Practice Address - Phone:412-639-9570
Practice Address - Fax:724-704-8164
Is Sole Proprietor?:No
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002940101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional