Healthcare Provider Details

I. General information

NPI: 1174576110
Provider Name (Legal Business Name): PAULA M CERRONE PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 11/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 MURRAY AVE STE 305
PITTSBURGH PA
15217-2352
US

IV. Provider business mailing address

1691 BILTMORE LN
PITTSBURGH PA
15217-4506
US

V. Phone/Fax

Practice location:
  • Phone: 412-418-1328
  • Fax:
Mailing address:
  • Phone: 412-418-1328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License NumberPA015021
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS015021
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: