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NPI Code Detail

MEDICARE: LOUISE ANGELA SHEARON

MEDICARE: LOUISE ANGELA SHEARON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorPC003138PA

General Provider Information

NPI Number : 1104764620
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISE ANGELA SHEARON
Provider Business Mailing Address
First Line : 451 SPRING ST
Second Line :
City : NEW KENSINGTON
State : PA
Zip : 15068-5829
Country : US
Telephone Number : 724-882-7970
Fax Number :
Provider Business Practice Location Address
First Line : 451 SPRING ST
Second Line :
City : NEW KENSINGTON
State : PA
Zip : 15068-5829
Country : US
Telephone Number : 724-882-7970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2026
Last Update Date : 03/24/2026

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Directions to “ LOUISE ANGELA SHEARON ” Practice Location

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