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NPI Code Detail

MEDICARE: PAMELA ANN DIBIASIO LSW

MEDICARE: PAMELA ANN DIBIASIO LSW
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
1101YP2500XProfessional CounselorE.2606328OH
2104100000XSocial WorkerS.1700975OH

General Provider Information

NPI Number : 1275050148
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA ANN DIBIASIO LSW
Provider Business Mailing Address
First Line : 900 MULL AVE
Second Line :
City : AKRON
State : OH
Zip : 44313-7597
Country : US
Telephone Number : 330-867-5603
Fax Number :
Provider Business Practice Location Address
First Line : 900 MULL AVE
Second Line :
City : AKRON
State : OH
Zip : 44313-7597
Country : US
Telephone Number : 330-867-5603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2017
Last Update Date : 02/12/2026

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Directions to “ PAMELA ANN DIBIASIO LSW” Practice Location

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