Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | PC006434 | PA |
NPI | 1003161712 |
---|---|
Provider Name | Mrs. Paula Sue Kassouf |
First Address | Pittsburgh, PA 15212-1353 |
Second Address | Pittsburgh, PA 15206-4458 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2012 |
Last Update Date | 01/08/2019 |