MEDICARE: CYNTHIA PAULDING 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
1	104100000X	Social Worker	SW990437L	PA

General Provider Information

NPI Number	:	1578936308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA PAULDING LSW

Provider Business Mailing Address
First Line	:	1824 MURRAY AVE
Second Line	:	SUITE 204
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1655
Country	:	US
Telephone Number	:	859-312-1312
Fax Number	:	724-742-1180

Provider Business Practice Location Address
First Line	:	7136 MICHIGAN AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-2028
Country	:	US
Telephone Number	:	859-312-1312
Fax Number	:

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

Provider Enumeration Date	:	11/02/2015
Last Update Date	:	11/02/2015

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