Provider Demographics
NPI:1831709690
Name:CSIR, EVAN PATRICK (MA, NCC, LBS, LPC)
Entity type:Individual
Prefix:
First Name:EVAN
Middle Name:PATRICK
Last Name:CSIR
Suffix:
Gender:M
Credentials:MA, NCC, LBS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9410 BABCOCK BLVD APT 3
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-2038
Mailing Address - Country:US
Mailing Address - Phone:814-460-8952
Mailing Address - Fax:
Practice Address - Street 1:1370 WASHINGTON PIKE
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2862
Practice Address - Country:US
Practice Address - Phone:412-221-7770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011978101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional