Provider Demographics
NPI:1205616158
Name:MATTUCCI, EMILIA (MA, NCC, LPC)
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:
Last Name:MATTUCCI
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:EMILIA
Other - Middle Name:
Other - Last Name:PEIFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NCC, LPC
Mailing Address - Street 1:1244 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-2860
Mailing Address - Country:US
Mailing Address - Phone:412-613-4824
Mailing Address - Fax:
Practice Address - Street 1:1244 MARSHALL AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-2860
Practice Address - Country:US
Practice Address - Phone:412-613-4824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000173101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional