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NPI Code Detail

MEDICARE: PAULA R PIMENTEL LCSW

MEDICARE: PAULA R PIMENTEL LCSW
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
11041C0700XClinical Social WorkerCW009455LPA

General Provider Information

NPI Number : 1598745580
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAULA R PIMENTEL LCSW
Provider Business Mailing Address
First Line : 304 FRANKSTOWN RD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4231
Country : US
Telephone Number : 814-943-2503
Fax Number : 814-940-7244
Provider Business Practice Location Address
First Line : 304 FRANKSTOWN RD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4231
Country : US
Telephone Number : 814-943-2503
Fax Number : 814-940-7244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 07/08/2007

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Directions to “ PAULA R PIMENTEL LCSW” Practice Location

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