Provider Demographics
NPI:1225840879
Name:CIPTAK, LAWRENCE DAVID (MA, NCC)
Entity type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:DAVID
Last Name:CIPTAK
Suffix:
Gender:M
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3523
Mailing Address - Country:US
Mailing Address - Phone:724-407-3806
Mailing Address - Fax:
Practice Address - Street 1:39 WHITE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-2847
Practice Address - Country:US
Practice Address - Phone:724-407-3806
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1736274OtherNATIONAL BOARD OF CERTIFIED COUNSELORS