1235553371 NPI number — CYNTHIA MASUCCI NCC, LPC

Table of content: CECILIA HO (NPI 1447610530)

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)