MEDICARE: MEAGAN PANTALONE

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
2	104100000X	Social Worker	SW142694	PA

General Provider Information

NPI Number	:	1861107583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN PANTALONE

Provider Business Mailing Address
First Line	:	401 N HIGHLAND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-2926
Country	:	US
Telephone Number	:	866-583-6003
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 N HIGHLAND AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15206-2926
Country	:	US
Telephone Number	:	412-583-6003
Fax Number	:

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

Provider Enumeration Date	:	01/17/2023
Last Update Date	:	06/25/2025

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Directions to “ MEAGAN PANTALONE ” Practice Location

Language	Start Address	Practice Location

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