Provider Demographics
NPI:1386914414
Name:O'GRADY, COLIN HENRY (LPC)
Entity type:Individual
Prefix:MR
First Name:COLIN
Middle Name:HENRY
Last Name:O'GRADY
Suffix:
Gender:M
Credentials:LPC
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Mailing Address - Street 1:2526 MONROEVILLE BLVD
Mailing Address - Street 2:SUITE 200A
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2358
Mailing Address - Country:US
Mailing Address - Phone:412-824-4005
Mailing Address - Fax:412-824-4006
Practice Address - Street 1:2526 MONROEVILLE BLVD
Practice Address - Street 2:SUITE 200A
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2358
Practice Address - Country:US
Practice Address - Phone:412-824-4005
Practice Address - Fax:412-824-4006
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPC006161101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional