Provider Demographics
NPI:1821392945
Name:GUSKY, JUDITH (LPC)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:GUSKY
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 1:155 N CRAIG ST
Mailing Address - Street 2:SUITE 170A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1571
Mailing Address - Country:US
Mailing Address - Phone:412-687-1234
Mailing Address - Fax:412-687-1234
Practice Address - Street 1:155 N CRAIG ST
Practice Address - Street 2:SUITE 170A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1571
Practice Address - Country:US
Practice Address - Phone:412-687-1234
Practice Address - Fax:412-687-1234
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005721101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional