Provider Demographics
NPI:1457078818
Name:SMITH, ANDREA LYNN (MS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:SMITH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:LYNN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:611 WILLIAM PENN PL APT 3105
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-6932
Mailing Address - Country:US
Mailing Address - Phone:717-968-2527
Mailing Address - Fax:
Practice Address - Street 1:339 OLD HAYMAKER RD STE 208
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-1686
Practice Address - Country:US
Practice Address - Phone:412-824-4005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional