Provider Demographics
NPI:1780932434
Name:GASPICH, KOTI EMMETT (MS, LPC)
Entity type:Individual
Prefix:
First Name:KOTI
Middle Name:EMMETT
Last Name:GASPICH
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:ELIZABETH
Other - Last Name:GASPICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:427 AVERY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5556
Mailing Address - Country:US
Mailing Address - Phone:724-433-4922
Mailing Address - Fax:
Practice Address - Street 1:427 AVERY ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5556
Practice Address - Country:US
Practice Address - Phone:724-433-4922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC009260101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional