Provider Demographics
NPI:1922258144
Name:NARDUZZI, JOSEPH QUENTIN (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:QUENTIN
Last Name:NARDUZZI
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:793 OLD ROUTE 119 HWY NORTH
Mailing Address - Street 2:
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701
Mailing Address - Country:US
Mailing Address - Phone:724-465-4476
Mailing Address - Fax:724-836-6197
Practice Address - Street 1:793 OLD ROUTE 119 HWY NORTH
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701
Practice Address - Country:US
Practice Address - Phone:724-465-4476
Practice Address - Fax:724-836-6197
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004225101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional