Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CW016351 | PA |
NPI | 1003095522 |
---|---|
Provider Name | Krista Mechling |
First Address | Pittsburgh, PA 15240 |
Second Address | Pittsburgh, PA 15215-1802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2007 |
Last Update Date | 19/04/2013 |