Healthcare Provider Details

I. General information

NPI: 1932387933
Provider Name (Legal Business Name): STEPHANIE NICOLE CUDDY LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2008
Last Update Date: 02/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3811 OHARA ST
PITTSBURGH PA
15213-2593
US

IV. Provider business mailing address

3811 O'HARA STREET
PITTSBURGH PA
15213-2593
US

V. Phone/Fax

Practice location:
  • Phone: 412-246-6375
  • Fax:
Mailing address:
  • Phone: 412-246-6375
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW122819
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: