Provider Demographics
NPI:1902480155
Name:BUSKIRK, MELISSA ANN (LPC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:BUSKIRK
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 1:2303 ENGELWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-3304
Mailing Address - Country:US
Mailing Address - Phone:412-720-1442
Mailing Address - Fax:
Practice Address - Street 1:5168 CAMPBELLS RUN RD STE 204
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-9778
Practice Address - Country:US
Practice Address - Phone:412-439-1416
Practice Address - Fax:724-941-8397
Is Sole Proprietor?:No
Enumeration Date:2021-05-12
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013205101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional