Provider Demographics
NPI:1700336377
Name:VALLECORSA, ROCCO (MS ED, LPC)
Entity Type:Individual
Prefix:
First Name:ROCCO
Middle Name:
Last Name:VALLECORSA
Suffix:
Gender:M
Credentials:MS ED, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:313 POLO CLUB DR
Mailing Address - Street 2:
Mailing Address - City:CORAOPOLIS
Mailing Address - State:PA
Mailing Address - Zip Code:15108-4708
Mailing Address - Country:US
Mailing Address - Phone:724-417-3662
Mailing Address - Fax:
Practice Address - Street 1:666 WASHINGTON RD FL 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15228-1913
Practice Address - Country:US
Practice Address - Phone:412-561-5405
Practice Address - Fax:412-561-4581
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009220101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional