Provider Demographics
NPI:1447303946
Name:MOELLER, KAREN ELAINE (LPC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELAINE
Last Name:MOELLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3947 GREENSBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3907
Mailing Address - Country:US
Mailing Address - Phone:412-351-7977
Mailing Address - Fax:
Practice Address - Street 1:201 E 18TH AVENUE
Practice Address - Street 2:ROOM 201
Practice Address - City:HOMESTEAD
Practice Address - State:PA
Practice Address - Zip Code:15120
Practice Address - Country:US
Practice Address - Phone:412-461-4100
Practice Address - Fax:412-461-7121
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC002076101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA342134OtherTRICARE
PA1554607OtherHIGHMARK