Provider Demographics
NPI:1952617888
Name:PIEKARSKI, SHELLEY ANNE (LPC)
Entity type:Individual
Prefix:
First Name:SHELLEY
Middle Name:ANNE
Last Name:PIEKARSKI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHELLEY
Other - Middle Name:ANNE
Other - Last Name:GILDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 REEDSDALE ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15233-2109
Mailing Address - Country:US
Mailing Address - Phone:412-370-3461
Mailing Address - Fax:412-697-3414
Practice Address - Street 1:1200 REEDSDALE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15233-2109
Practice Address - Country:US
Practice Address - Phone:412-370-3461
Practice Address - Fax:412-697-3414
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005590101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health