MEDICARE: ISABELLE TATE CUTLER

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	1041C0700X	Clinical Social Worker	CW025541	PA

General Provider Information

NPI Number	:	1316416357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLE TATE CUTLER

Provider Business Mailing Address
First Line	:	500 BLAZIER DR STE 400
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9508
Country	:	US
Telephone Number	:	247-934-2420
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 BLAZIER DR STE 400
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-9508
Country	:	US
Telephone Number	:	247-934-2420
Fax Number	:

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

Provider Enumeration Date	:	11/20/2018
Last Update Date	:	03/18/2025

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Directions to “ ISABELLE TATE CUTLER ” Practice Location

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