Provider Demographics
NPI:1497584551
Name:STITT, STEPHANIE RENAE (MS, MA)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:RENAE
Last Name:STITT
Suffix:
Gender:F
Credentials:MS, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5541 WALNUT ST STE 3
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2352
Mailing Address - Country:US
Mailing Address - Phone:814-316-5733
Mailing Address - Fax:
Practice Address - Street 1:5541 WALNUT ST STE 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-2352
Practice Address - Country:US
Practice Address - Phone:412-779-7078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAPC000141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health