Provider Demographics
NPI:1881447886
Name:MCCARTHY, STEPHANIE MICHELLE (MA)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:MICHELLE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:MICHELLE
Other - Last Name:KOVALSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COSMETOLOGIST
Mailing Address - Street 1:22 DELL DR
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4506
Mailing Address - Country:US
Mailing Address - Phone:412-266-6738
Mailing Address - Fax:
Practice Address - Street 1:8700 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-2715
Practice Address - Country:US
Practice Address - Phone:412-266-6738
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional