Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1164726238 |
---|---|
Provider Name | Mr. David Bassi |
First Address | Johnstown, PA 15901-1628 |
Second Address | Johnstown, PA 15901-1628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2011 |
Last Update Date | 05/01/2011 |