MEDICARE: THOMAS P HATHAWAY INC

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

General Provider Information

NPI Number	:	1891348744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS P HATHAWAY INC

Provider Business Mailing Address
First Line	:	1821 SHALER DR
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-2155
Country	:	US
Telephone Number	:	412-926-0730
Fax Number	:

Provider Business Practice Location Address
First Line	:	1412 MOUNT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-2257
Country	:	US
Telephone Number	:	412-487-0949
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	MR. THOMAS P HATHAWAY
Credential	:	LSW
Telephone Number	:	412-487-0949

Provider Enumeration Date	:	07/19/2019
Last Update Date	:	07/19/2019

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Directions to “THOMAS P HATHAWAY INC ” Practice Location

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