Provider Demographics
NPI:1427320324
Name:LOY, ANDREW J (MED/EDS, LPC)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:J
Last Name:LOY
Suffix:
Gender:M
Credentials:MED/EDS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 S ARCH ST
Mailing Address - Street 2:SUITE 5
Mailing Address - City:CONNELLSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15425-3519
Mailing Address - Country:US
Mailing Address - Phone:724-322-6485
Mailing Address - Fax:724-603-2503
Practice Address - Street 1:208 S ARCH ST
Practice Address - Street 2:SUITE 5
Practice Address - City:CONNELLSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15425-3519
Practice Address - Country:US
Practice Address - Phone:724-322-6485
Practice Address - Fax:724-603-2503
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC006230101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional