Provider Demographics
NPI:1194410514
Name:WREGGET, COURTNEY HANNAH (LPC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:HANNAH
Last Name:WREGGET
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 1:707 KEWANNA AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1204
Mailing Address - Country:US
Mailing Address - Phone:412-339-0794
Mailing Address - Fax:
Practice Address - Street 1:707 KEWANNA AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1204
Practice Address - Country:US
Practice Address - Phone:412-339-0794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014792101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional