Sandra Lee Protulipac, EDD
Individual provider Active NPI Professional Counselor · Warrendale, PA
NPI 1831222892 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1831222892
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 24679297 (PA)
- Practice address
- 30 Warrendale Bayne Rd
Warrendale, PA 15086-7558 - Phone
- (412) 719-6202
- NPI assigned
- Mar 13, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24679297 | PA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 24679297 | PA | Yes |
Addresses
Primary practice location
30 Warrendale Bayne Rd
Warrendale, PA 15086-7558
Mailing address
2274 Montgomery Rd
Sewickley, PA 15143-9516
Phone (412) 719-6202
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All providers in Warrendale, PA · Professional Counselor in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.