Provider Demographics
NPI:1851974596
Name:ATKINSON, CARISSA DAWN (MSCP)
Entity Type:Individual
Prefix:
First Name:CARISSA
Middle Name:DAWN
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 CENTER RD STE 301
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-1789
Mailing Address - Country:US
Mailing Address - Phone:412-256-8256
Mailing Address - Fax:
Practice Address - Street 1:244 CENTER RD STE 301
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1789
Practice Address - Country:US
Practice Address - Phone:412-526-3563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health