MEDICARE: KASEY BERNADETTE PULEO MA, NCC, LPC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1265907166
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY BERNADETTE PULEO MA, NCC, LPC

Provider Business Mailing Address
First Line	:	131 CYPRESS DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1507
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 FORT COUCH ROAD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15241-1524
Country	:	US
Telephone Number	:	412-831-1223
Fax Number	:

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

Provider Enumeration Date	:	10/06/2018
Last Update Date	:	09/30/2020

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