Provider Demographics
NPI:1013442862
Name:HIDO, MARY KATHRYN (LPC)
Entity type:Individual
Prefix:MS
First Name:MARY
Middle Name:KATHRYN
Last Name:HIDO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:KATHRYN
Other - Last Name:MATTIX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:750 3RD ST STE 3
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1971
Mailing Address - Country:US
Mailing Address - Phone:724-923-4120
Mailing Address - Fax:724-395-7006
Practice Address - Street 1:750 3RD ST STE 3
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1971
Practice Address - Country:US
Practice Address - Phone:724-923-4120
Practice Address - Fax:724-395-7006
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-28
Last Update Date:2021-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009598101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional