Healthcare Provider Details

I. General information

NPI: 1700804150
Provider Name (Legal Business Name): PAULINE THERESE DALPE MS OF ED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 BELMONT AVE
YOUNGSTOWN OH
44505-2405
US

IV. Provider business mailing address

4250 SHIELDS RD
CANFIELD OH
44406-9329
US

V. Phone/Fax

Practice location:
  • Phone: 330-744-3320
  • Fax: 330-744-3677
Mailing address:
  • Phone: 330-792-7636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC-0005883
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC-0005883
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberC-0005883
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: