Provider Demographics
NPI:1356024772
Name:MASSEY, GERALDINE (MS LPC)
Entity type:Individual
Prefix:
First Name:GERALDINE
Middle Name:
Last Name:MASSEY
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 BRINTON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4536
Mailing Address - Country:US
Mailing Address - Phone:412-242-0927
Mailing Address - Fax:412-242-0927
Practice Address - Street 1:1104 BRINTON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4536
Practice Address - Country:US
Practice Address - Phone:412-980-6990
Practice Address - Fax:412-242-0927
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-11
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC015036101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional