1235553371 NPI number — CYNTHIA MASUCCI NCC, LPC

Table of content: CYNTHIA MASUCCI NCC, LPC (NPI 1235553371)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235553371 NPI number — CYNTHIA MASUCCI NCC, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MASUCCI
Provider First Name:
CYNTHIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
NCC, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LAUZON
Provider Other First Name:
CYNTHIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1235553371
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/18/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1334 SANDSTONE DR.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MC DONALD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15057
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-319-7149
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 BOYCE PLAZA RD STE 241
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15241-4902
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-386-4246
Provider Business Practice Location Address Fax Number:
412-564-5030
Provider Enumeration Date:
02/10/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)