Provider Demographics
NPI:1639665250
Name:SPENCER, STEPHENIE ADYNE LAFAVE (MS, PSYD)
Entity type:Individual
Prefix:DR
First Name:STEPHENIE
Middle Name:ADYNE LAFAVE
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MS, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5830 ELLSWORTH AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1778
Mailing Address - Country:US
Mailing Address - Phone:412-368-2211
Mailing Address - Fax:
Practice Address - Street 1:5830 ELLSWORTH AVE STE 204
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1778
Practice Address - Country:US
Practice Address - Phone:412-368-2211
Practice Address - Fax:412-279-1418
Is Sole Proprietor?:No
Enumeration Date:2018-07-06
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program