Provider Demographics
NPI:1144927666
Name:CARPENZANO, MARIA (LPC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CARPENZANO
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 1:351 N JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-1325
Mailing Address - Country:US
Mailing Address - Phone:724-543-4238
Mailing Address - Fax:724-548-4550
Practice Address - Street 1:351 N JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-1325
Practice Address - Country:US
Practice Address - Phone:724-543-4238
Practice Address - Fax:724-548-4550
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-15
Last Update Date:2023-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014391101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional