MEDICARE: PAULA M CERRONE PHD

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
1	103G00000X	Clinical Neuropsychologist	PA015021	PA
2	103T00000X	Psychologist	PS015021	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	630549	OTHER	PA	HIGHMARK BLUE CROSS
2	1414649	OTHER	PA	HIGHMARK BLUE CROSS

General Provider Information

NPI Number	:	1174576110
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA M CERRONE PHD

Provider Business Mailing Address
First Line	:	1691 BILTMORE LN
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-4506
Country	:	US
Telephone Number	:	412-418-1328
Fax Number	:

Provider Business Practice Location Address
First Line	:	2345 MURRAY AVE STE 305
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-2352
Country	:	US
Telephone Number	:	412-418-1328
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	11/07/2018

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Directions to “ PAULA M CERRONE PHD” Practice Location

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