Provider Demographics
NPI:1215101589
Name:WEISS, DOREEN (MA LPC)
Entity type:Individual
Prefix:
First Name:DOREEN
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2502 HIGHLAND CIR
Mailing Address - Street 2:
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2857
Mailing Address - Country:US
Mailing Address - Phone:412-760-7757
Mailing Address - Fax:
Practice Address - Street 1:3100 PIONEER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226-1741
Practice Address - Country:US
Practice Address - Phone:412-760-7757
Practice Address - Fax:412-531-4863
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005519101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional