Provider Demographics
NPI:1164251880
Name:MASSELLA, ISABEL KATE (MS)
Entity type:Individual
Prefix:MS
First Name:ISABEL
Middle Name:KATE
Last Name:MASSELLA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:IZZY
Other - Middle Name:
Other - Last Name:MASSELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:95 ENTERPRISE ST STE 104
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-2070
Mailing Address - Country:US
Mailing Address - Phone:412-754-1100
Mailing Address - Fax:
Practice Address - Street 1:95 ENTERPRISE ST STE 104
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2070
Practice Address - Country:US
Practice Address - Phone:412-754-1100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-31
Last Update Date:2024-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health