Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003314394 |
---|---|
Provider Name | Kathleen Marie Casamento |
First Address | Pittsburgh, PA 15215-1802 |
Second Address | Pittsburgh, PA 15215-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2018 |
Last Update Date | 23/03/2018 |