Provider Demographics
NPI:1700086691
Name:DANCE, VERONICA LYNN (MHS, LPC)
Entity Type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:LYNN
Last Name:DANCE
Suffix:
Gender:F
Credentials:MHS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6031 BROAD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-3009
Mailing Address - Country:US
Mailing Address - Phone:412-607-5460
Mailing Address - Fax:
Practice Address - Street 1:6031 BROAD ST STE 201
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3009
Practice Address - Country:US
Practice Address - Phone:412-607-5460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004746101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026604600004Medicaid