Provider Demographics
NPI:1871021261
Name:GUERRA, TONI LYNN (PC)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:LYNN
Last Name:GUERRA
Suffix:
Gender:F
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-3914
Mailing Address - Country:US
Mailing Address - Phone:412-896-5140
Mailing Address - Fax:412-896-5141
Practice Address - Street 1:1817 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-3914
Practice Address - Country:US
Practice Address - Phone:412-896-5140
Practice Address - Fax:412-896-5141
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009668101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional