Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003049180 |
---|---|
Provider Name | Mr. A. Joseph Bucco Jr. |
First Address | Pittsburgh, PA 15213-2600 |
Second Address | Pittsburgh, PA 15213-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2009 |
Last Update Date | 24/08/2009 |