Healthcare Provider Details

I. General information

NPI: 1316865785
Provider Name (Legal Business Name): ALISCIA PULITO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALI PULITO

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 W COLLEGE ST
OBERLIN OH
44074-1531
US

IV. Provider business mailing address

181 W COLLEGE ST
OBERLIN OH
44074-1531
US

V. Phone/Fax

Practice location:
  • Phone: 440-364-5559
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2607870
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: