Individual
MS. STEPHANIE LYNN HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-6200
(412) 359-6617
Mailing address
320 E NORTH AVE STE 208, PITTSBURGH, PA 15212-4756
(412) 359-6200
(412) 359-6617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057285
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103202853
—
PA
01
—
12774735
CAQH
—
Enumeration date
12/02/2014
Last updated
01/09/2024
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