Provider Demographics
NPI:1487791810
Name:STEVENS, LA BARON W (MTH, MS, LPC)
Entity type:Individual
Prefix:MR
First Name:LA BARON
Middle Name:W
Last Name:STEVENS
Suffix:
Gender:M
Credentials:MTH, MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 GREENSBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3666
Mailing Address - Country:US
Mailing Address - Phone:412-501-3254
Mailing Address - Fax:
Practice Address - Street 1:2400 GREENSBURG PIKE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2258
Practice Address - Country:US
Practice Address - Phone:412-501-3254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC008095101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional