Provider Demographics
NPI:1841979739
Name:DIPAOLO, KAYLA LYNN (LPC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:LYNN
Last Name:DIPAOLO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 E OTTERMAN ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2502
Mailing Address - Country:US
Mailing Address - Phone:724-209-4020
Mailing Address - Fax:
Practice Address - Street 1:14 E OTTERMAN ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2502
Practice Address - Country:US
Practice Address - Phone:724-209-4020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015941101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health