| Cheryl Massimo Llc | |
|
7424 Washington Street Pittsburgh PA 15218 | |
| (412) 818-3509 | |
| Not Available |
| Full Name | Cheryl Massimo Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7424 Washington Street, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Cheryl Elizabeth Massimo (MEMBER CHERYL MASSIMO LLC) |
| Authorized Official Contact | 4128183509 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheryl Massimo Llc Po Box 17974 Pittsburgh PA 15235 Ph: (412) 818-3509 | Cheryl Massimo Llc 7424 Washington Street Pittsburgh PA 15218 Ph: (412) 818-3509 |
| NPI Number | 1346296191 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346296191 | NPI | - | NPPES |
| 0016912450002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW015306 (Pennsylvania) | Primary |
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