Provider Demographics
NPI:1851002257
Name:KATYAL, PATRICIA LODGE (LPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LODGE
Last Name:KATYAL
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 1:7074 BENNINGTON WOODS DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6374
Mailing Address - Country:US
Mailing Address - Phone:412-759-8350
Mailing Address - Fax:
Practice Address - Street 1:9855 RINAMAN RD
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9226
Practice Address - Country:US
Practice Address - Phone:724-799-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014162101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health